Jennifer I Whitman, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0003331 Issued in MD

Practice address

77 Thomas Johnson Dr Ste E
Frederick, MD 21702-4893

Phone

(301) 695-8346

Fax

(301) 624-5837

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynn Iezzi Former name

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS. Ford and Rothman Cosmetic and Clinical Dermatology, LLCGroup PAC ID 0244288009, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.43 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.75

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• DRS. Ford and Rothman Cosmetic and Clinical Dermatology, LLC

  • Dermatology Physician
  • Gaithersburg, MD
  • NPI 1205900537

  DC

  Medicare reassignment Care Compare group
• Maryland Surgical Care PC

  • Vascular Surgery Physician
  • Frederick, MD
  • NPI 1336245075

  DC

  Medicare reassignment
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• MSC Ambulatory Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bethesda, MD
  • NPI 1417118407
  NPD (past)
• Secure Medical Associates, LLC

  • Urgent Care Clinic/Center
  • Gaithersburg, MD
  • NPI 1356396667
  NPD (past)
• Chirigos Medical Associates

  • Internal Medicine Physician
  • Greensburg, PA
  • NPI 1780747980
  NPD (past)
• Commonwealth Emergency Physicians PC

  • Physician Assistant
  • Leesburg, VA
  • NPI 1366061574
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1861440448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-695-8346",
            "fax_number": "301-624-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-695-8346",
            "fax_number": "301-624-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "JENNIFER",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "IEZZI",
            "middle_name": "LYNN",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine White, M.D.
• Kye Tionna Michelle White
• Richard Clayton White, DPT
• Staci Marie Whitehurst-Boakye, M.S.,CCC-SLP
• Kristlyn Whitlock
• Alison Mikell Whitt, PHARMD.
• Wholesome With El Nutrition, LLC
• Brian Matthew Wiacek, DMD
• Sarah Marie Widmer
• Rose M Wienhoff, CRNP

• Physician Assistant in Frederick, MD
• Providers in Frederick, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.

Verify at the official NPI Registry.