NPIMap

Individual provider Active NPI

Charles Frederic Whitaker IV, M.D.

  • Family Medicine Physician
  • Coldwater, MI
National Provider Identifier
1821054966
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301078363 Issued in MI
Practice address
436 Marshall St
Coldwater, MI 49036-1139
Phone
(517) 278-6600
Fax
(517) 278-0600
NPI assigned
Apr 26, 2006
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301078363 MI Primary

Addresses

Primary practice location

436 Marshall St
Coldwater, MI 49036-1139

Mailing address

436 Marshall St
Coldwater, MI 49036-1139
Phone (517) 278-6600

Other identifiers 1

IdentifierTypeStateIssuer
1821054966MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000633 MI Practitioner - Family Practice 7911895586 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

1080 N 35TH St
Galesburg, MI 49053-9727
Phone (269) 665-7043

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

436 Marshall St
Coldwater, MI 49036-1139
Phone (517) 278-6600

706 N Ave
Battle Creek, MI 49017-3231
Phone (269) 224-0060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County Family Medicine CurrentSince Nov 20, 2019 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
Theoria Medical CurrentSince Feb 15, 2020 Accepting new patients
Community Health Center of Branch County CurrentSince Nov 20, 2019 Accepting new patients
Select Health, P.C. Family Medicine CurrentSince Dec 1, 2007 Accepting new patients
Laurel Health Care Company of Galesburg Past Accepting new patients
Advantage Health Physicians PC Family Medicine Past Accepting new patients
Preferred Family and Women's Care, P.C. Past Accepting new patients
Marshall Opco, LLC Past Accepting new patients
Spectrum Health Hospitals Past Accepting new patients
Oak Health Care Investors of Coldwater, Inc Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Trilogy Healthcare of Battle Creek LLC Past Accepting new patients
Branch County Treasurer Past Accepting new patients
Laurel Health Care Company of Battle Creek Past Accepting new patients

Locations

270 Bedford Rd N
Battle Creek, MI 49037
Phone (269) 968-2296

706 North Ave
Battle Creek, MI 49017
Phone (269) 224-0060

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

436 Marshall St
Coldwater, MI 49036
Phone (517) 278-6600

90 N Michigan Ave
Coldwater, MI 49036
Phone (517) 279-9808

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

1080 N 35th St
Galesburg, MI 49053
Phone (269) 655-7043

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

879 E Michigan Ave
Marshall, MI 49068
Phone (269) 781-4251

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3061 Christy Way
Saginaw, MI 48603
Phone (630) 788-1425

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maple Lawn Medical Care FacilityColdwater, MI, CCN 235008 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2014
Mar 4, 2025
The Laurels of BedfordBattle Creek, MI, CCN 235299 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1821054966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 MARSHALL ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361139",
            "telephone_number": "517-278-6600",
            "fax_number": "517-278-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 MARSHALL ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361139",
            "telephone_number": "517-278-6600",
            "fax_number": "517-278-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "CHARLES",
        "middle_name": "FREDERIC",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301078363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821054966",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.