Individual provider Active NPI

Albert Sidney Whiting Jr., M.D.

  • Ophthalmology Physician
  • Caribou, ME
National Provider Identifier
1730162140
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD17756 Issued in ME
Practice address
647 Main St
Caribou, ME 04736-4464
Phone
(207) 496-6851
Fax
(207) 492-5791
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200100197 NC
Ophthalmology Physician 207W00000X MD17756 ME Primary

Addresses

Primary practice location

647 Main St
Caribou, ME 04736-4464

Mailing address

PO Box 576
Caribou, ME 04736-0576
Phone (207) 496-6851

Other practice location 1

197 E Main St
Fort Kent, ME 04743-1409
Phone (207) 834-1573

Other practice location 2

5 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-1234

Other identifiers 4

IdentifierTypeStateIssuer
8912880MedicaidNC
180042535OtherNYPALMETTO GBA
12880OtherNCBCBS OF NC
0800138OtherNCUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, GU, CA, RI, MA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20081208000599 ME Practitioner - Ophthalmology 2860427705 Reassigns benefits to 2 organizations
I20151215000692 GU Practitioner - Ophthalmology 2860427705 Reassigns benefits to 1 organization
I20220427003137 CA Practitioner - Ophthalmology 2860427705 Reassigns benefits to 1 organization
I20231214002422 RI Practitioner - Ophthalmology 2860427705
I20240220003120 MA Practitioner - Ophthalmology 2860427705

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pines Health ServicesGroup PAC ID 0749275113, 58 clinicians

Practice addresses (Care Compare)

163 Van Buren Rd
Caribou, ME 04736-3567
Phone (207) 498-6921

647 Main St
Caribou, ME 04736-4464
Phone (207) 496-6851

74 Access Hwy
Caribou, ME 04736-3807
Phone (207) 498-2350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery125
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200100197NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Adventist Hospital CurrentSince May 31, 2022 Accepting new patients
Pines Health Services Ophthalmology CurrentSince Feb 8, 2008 Accepting new patients
General Conference Corp of Sda CurrentSince Oct 14, 2015 Accepting new patients
Pines Health Services CurrentSince Feb 8, 2008 Accepting new patients
Ukiah Adventist Hospital CurrentSince May 31, 2022 Accepting new patients
City of Caribou CurrentSince Jan 22, 2024 Accepting new patients

Locations

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

647 Main St
Caribou, ME 04736
Phone (207) 496-6851

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

Interoperability endpoints

  • Direct secure messaging: awhiting376944@direct.ochin.org
  • Direct secure messaging: awhiting@yourcarecommunity.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1730162140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360576",
            "telephone_number": "207-496-6851",
            "fax_number": "207-492-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 MAIN ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047364464",
            "telephone_number": "207-496-6851",
            "fax_number": "207-492-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 E Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Kent",
            "state": "ME",
            "postal_code": "047431409",
            "country_code": "US",
            "telephone_number": "207-834-1573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Miles Center Way",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434067",
            "country_code": "US",
            "telephone_number": "207-563-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITING",
        "first_name": "ALBERT",
        "middle_name": "SIDNEY",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200100197",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "MD17756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912880",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "180042535",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "12880",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0800138",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.