Individual provider Active NPI

Douglas M Whitmore, M.D.

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1689687493
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME37566 Issued in FL
Practice address
1930 NE 47TH St
Suite 205
Ft Lauderdale, FL 33308-7718
Phone
(954) 491-8981
Fax
(954) 489-0655
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME37566 FL Primary

Addresses

Primary practice location

1930 NE 47TH St
Suite 205
Ft Lauderdale, FL 33308-7718

Mailing address

1930 NE 47TH St
Suite 205
Ft Lauderdale, FL 33308-7718
Phone (954) 491-8981

Other identifiers 1

IdentifierTypeStateIssuer
064607500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1689687493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 NE 47TH ST",
            "address_2": "SUITE 205",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087718",
            "telephone_number": "954-491-8981",
            "fax_number": "954-489-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 NE 47TH ST",
            "address_2": "SUITE 205",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087718",
            "telephone_number": "954-491-8981",
            "fax_number": "954-489-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME37566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064607500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.