Michael David Whiting, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M8126 Issued in ID

Practice address

913 W Canfield Ave
Coeur D Alene, ID 83815-9764

Phone

(208) 819-7103

Fax

(208) 763-3203

NPI assigned

Jul 5, 2006

Last updated

May 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rathdrum Clinic, Inc.

  dba Restored Horizons

  • Addiction Medicine (Family Medicine) Physician
  • Coeur d'Alene, ID
  • NPI 1538503693
  Medicare reassignment Authorized official
• Rathdrum Clinic, Inc.

  dba Restored Horizons

  • Family Medicine Physician
  • Rathdrum, ID
  • NPI 1669572780
  NPD Authorized official
• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur d'Alene, ID
  • NPI 1174661151
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1598796708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14775 N KIMO CT",
            "address_2": "SUITE B",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588762",
            "telephone_number": "208-687-5627",
            "fax_number": "208-687-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-819-7103",
            "fax_number": "208-763-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD HS65",
            "identifier": "000010029526",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "171111",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul S White, MD
• Rachel Janee White, APRN
• Ralenna White
• Tracey Lynn White, LCSW
• Michael Anthony Whiting, PT
• Samantha C Whiting, OTR
• Theresa Whitlock-Wild
• Gloria Louise Whitman, LMP
• Shaun Michael Whitney, D.D.S.
• Kathleen Widmyer, RPH

• Family Medicine Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.