Gary Lowell Whitacre, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

35025958 Issued in OH

Practice address

5555 Scarborough Blvd
Columbus, OH 43232-4730

Phone

(614) 863-7116

NPI assigned

May 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1831418177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 BERING CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430816203",
            "telephone_number": "614-890-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 SCARBOROUGH BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324730",
            "telephone_number": "614-863-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "GARY",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "35025958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Boyens Whisler
• Ronald L Whisler, M.D.
• Sahar Whisman
• Ronald Whisner, CNP
• Stacy Lynn Whisner, CNP
• Holly Lynn Whitaker, L.P.N
• Julie Kay Whitaker
• Todd E Whitaker, MD
• Gretchen Whitby, CNP
• Sandra Lee Whitcraft, RNFA

• Adult Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Adult Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.