Active NPI
David Michael Whitaker, D.O., M.S.
- Family Medicine Physician
- Kingston, RI
National Provider Identifier
1811057508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO349
- Practice address
- 6 Butterfield Road
Potter Building
Kingston, RI 02881 - Phone
- (401) 874-5155
- Fax
- (401) 874-2586
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO349 | RI | Primary |
Addresses
Primary practice location
6 Butterfield Road
Potter Building
Kingston, RI 02881
Mailing address
PO Box 312
Kingston, RI 02881-0312
Phone (401) 874-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO349 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Rhode Island | Past | Accepting new patients | |
| University Physical Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba URI Health Services
- Student Health Clinic/Center
- Kingston, RI
- NPI 1245455724
-
- Physical Therapist
- Kingston, RI
- NPI 1760549430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811057508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 312",
"city": "KINGSTON",
"state": "RI",
"postal_code": "028810312",
"telephone_number": "401-874-5155",
"fax_number": "401-874-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BUTTERFIELD ROAD",
"address_2": "POTTER BUILDING",
"city": "KINGSTON",
"state": "RI",
"postal_code": "02881",
"telephone_number": "401-874-5155",
"fax_number": "401-874-2586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "DO349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.