Active NPI
Whitaker National Corporation
- Emergency Medicine Physician
- Ashland, KY
National Provider Identifier
1841332665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- WHITAKER NATIONAL CORPORATION
- Practice address
- 1000 Saint Christopher Dr
Ashland, KY 41101-7034 - Phone
- (606) 833-3333
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent Morra
- Title
- President and Ceo
- Phone
- (800) 377-8721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1000 Saint Christopher Dr
Ashland, KY 41101-7034
Mailing address
PO Box 409013
Atlanta, GA 30384-9013
Phone (800) 377-8721
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2724672 | Medicaid | OH | |
| 3810008358 | Medicaid | WV | |
| 65946345 | Medicaid | KY | |
| 000000061861 | Other | KY | BCBS GROUP # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1841332665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 409013",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303849013",
"telephone_number": "800-377-8721",
"fax_number": "304-523-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SAINT CHRISTOPHER DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017034",
"telephone_number": "606-833-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITAKER NATIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "MORRA",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "800-377-8721"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2724672",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810008358",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65946345",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "000000061861",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.