Active NPI
Judd Atwood Whiting, M.D.
- Anesthesiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- WE160627
- Practice address
- 2080 Child St Dept of
Jacksonville, FL 32214-5005 - Phone
- (904) 542-7632
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24725 | NE | |
| Anesthesiology Physician | 207L00000X | WE160627 | FL | Primary |
Addresses
Primary practice location
2080 Child St Dept of
Jacksonville, FL 32214-5005
Mailing address
2080 Child St Dept of
Jacksonville, FL 32214-5005
Phone (904) 542-7632
Other practice location 1
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 702-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Wisconsin, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111
4016 Sun City Ctr Blvd
Sun City Center, FL 33573-5256
Phone (813) 634-3301
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WE160627 | FL | MD | Anesthesiology Physician |
| 24725 | NE | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
Locations
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1760686463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 CHILD ST DEPT OF",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "904-542-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST DEPT OF",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "904-542-7632"
}
],
"practiceLocations": [
{
"address_1": "3625 University Blvd S",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322164207",
"country_code": "US",
"telephone_number": "904-702-6111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITING",
"first_name": "JUDD",
"middle_name": "ATWOOD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NE",
"license": "24725",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "WE160627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.