Russell S Whitaker, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD.9524 Issued in AL

Practice address

300 Medical Center Drive
Suite 201
Gadsden, AL 35903

Phone

(256) 492-6982

Fax

(256) 494-1958

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/15772/brand/1/csg/1/fhir/r4

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

• Prime Healthcare Services-Gadsden Physician Management LLC

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1356731467
  Medicare reassignment NPD
• Gadsden Regional Medical Center LLC

  dba Gadsden Regional Medical Center

  • Clinical Cardiac Electrophysiology Physician
  • Gadsden, AL
  • NPI 1801800784

  Cardiovascular Disease

  NPD
• Affinity Cardiovascular Specialists LLC

  • Cardiovascular Disease Physician
  • Birmingham, AL
  • NPI 1215305925
  NPD (past)
• Cardiology of Central Alabama, P.C.

  • Cardiovascular Disease Physician
  • Alexander City, AL
  • NPI 1578621736
  NPD (past)
• Southern Cardiovascular Associates, PC

  • Cardiovascular Disease Physician
  • Gadsden, AL
  • NPI 1588617716
  NPD (past)
• University of South Alabama Health Services Foundation

  dba USA Clinical Genetics Lab

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1548357916
  NPD (past)
• St Davids Heart & Vascular, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1700887700
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1710988183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 201",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35903",
            "telephone_number": "256-492-6982",
            "fax_number": "256-494-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 201",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35903",
            "telephone_number": "256-492-6982",
            "fax_number": "256-494-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "RUSSELL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L9013",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "MD.9524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101301",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51548442",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Heath Wetzel, LICSW
• Nicholas J Wheeler, DPT
• David Whisenant, PHARMD
• Whitaker Cardiology, PC
• Dale Alan Whitaker Jr., MD
• Christopher Michael White, M.D.
• Makenzi Lauren White
• Timothy Michael White, MA, CAC
• Randy Whitt, LCSW
• T Kim Whitt, DMD

• Cardiovascular Disease Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Cardiovascular Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.