Individual provider Active NPI

Whitney E Shoemaker, D.O., F.A.C.O.O.G.

  • Gynecology Physician
  • Ormond Beach, FL
National Provider Identifier
1750328514
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
OS9499 Issued in FL
Practice address
598 Sterthaus Drive
Ormond Beach, FL 32174-5128
Phone
(386) 256-2565
Fax
(386) 256-2567
NPI assigned
Jun 1, 2006
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X OS9499 FL Primary

Addresses

Primary practice location

598 Sterthaus Drive
Ormond Beach, FL 32174-5128

Mailing address

598 Sterthaus Drive
Ormond Beach, FL 32174-5128
Phone (386) 256-2565

Other practice location 1

2135 SW 19th Avenue Rd Ste 103
Ocala, FL 34471-7877
Phone (352) 368-1360

Other identifiers 1

IdentifierTypeStateIssuer
1013235910002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140527000790 FL Practitioner - Obstetrics/GynecologyPractitioner - Orthopedic Surgery 2769438837
I20260528004025 AL Practitioner - Obstetrics/Gynecology 2769438837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

101 E Brunson St
Suite 310
Enterprise, AL 36330-2500
Phone (334) 348-8851

400 N Edwards St
Enterprise, AL 36330-2510
Phone (334) 348-4278

4300 W Main St
Dothan, AL 36305-1058

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Anesthesia, LLC PastSince Dec 5, 2024 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1750328514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 STERTHAUS DRIVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745128",
            "telephone_number": "386-256-2565",
            "fax_number": "386-256-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 STERTHAUS DRIVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745128",
            "telephone_number": "386-256-2565",
            "fax_number": "386-256-2567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 SW 19th Avenue Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717877",
            "country_code": "US",
            "telephone_number": "352-368-1360",
            "fax_number": "352-237-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "WHITNEY",
        "middle_name": "E",
        "credential": "D.O., F.A.C.O.O.G.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "OS9499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013235910002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.