Active NPI
Albert Sidney Whiting Jr., M.D.
- Ophthalmology Physician
- Caribou, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD17756
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8912880 | Medicaid | NC | |
| 180042535 | Other | NY | PALMETTO GBA |
| 12880 | Other | NC | BCBS OF NC |
| 0800138 | Other | NC | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, GU, CA, RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 125 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200100197 | NC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Pines Health Services | Ophthalmology | Current | Accepting new patients |
| General Conference Corp of Sda | Current | Accepting new patients | |
| Pines Health Services | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| City of Caribou | Current | 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
- awhiting376944@direct.ochin.org
- 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.
-
- General Acute Care Hospital
- Caribou, ME
- NPI 1780615492
-
- Clinic/Center
- Tamuning, GU
- NPI 1275586877
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- Federally Qualified Health Center (FQHC)
- Washburn, ME
- NPI 1922449834
-
- Community/Retail Pharmacy
- Willits, CA
- NPI 1629432968
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Caribou, ME
- NPI 1780615492
-
- Critical Access Hospital
- Fort Kent, ME
- NPI 1568465144
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.