Courtney Wade Whitney, D.O.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

39456 Issued in MN

Practice address

2700 Campus Drive
Suite 100
Plymouth, MN 55441

Phone

(763) 519-0634

Fax

(763) 519-0636

NPI assigned

Mar 16, 2006

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN, WI, NE, ND4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Sleep Medicine

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Indianhead Medical Center Shell Lake, Inc.Group PAC ID 6406748839, shared by 5 NPIs, 12 clinicians

Whitney Sleep Diagnostics and Consultants, LLCGroup PAC ID 8022160431, 2 clinicians

Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Richland Hospital Hospital, Richland Center, WI, CCN 521341
• Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
• Avera Hand County Memorial Hospital and Clinic Hospital, Miller, SD, CCN 431337
• Valley County Health System Hospital, Ord, NE, CCN 281353
• Carrington Health Center Hospital, Carrington, ND, CCN 351318

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Whitney Sleep Diagnostics & Consultants, LLC

  • Clinic/Center
  • Detroit Lakes, MN
  • NPI 1396985073
  Medicare reassignment Care Compare group Authorized official
• Whitney Sleep Associates LLC

  dba Whitney Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Burnsville, MN
  • NPI 1215167853
  Medicare reassignment NPD Authorized official
• Froedtert Manitowoc Medical Group, LLC

  dba Froedtert Northeast Medical Group

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment NPD
• Deer River Healthcare Center, Inc.

  dba Essentia Health Deer River

  • Critical Access Hospital
  • Deer River, MN
  • NPI 1225049018
  Medicare reassignment NPD
• International Falls Memorial Hospital Association

  dba Rainy Lake Medical Center

  • Critical Access Hospital
  • International Falls, MN
  • NPI 1528041183
  Medicare reassignment NPD
• Lakewood Health Center

  dba CHI Lakewood Health

  • Clinic/Center
  • Baudette, MN
  • NPI 1972799237
  Medicare reassignment NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  dba Aspirus Merrill Hospital

  • Critical Access Hospital
  • Merrill, WI
  • NPI 1124084678
  Medicare reassignment NPD
• Carrington Health Center

  dba CHI St. Alexius Health Carrington

  • Critical Access Hospital
  • Carrington, ND
  • NPI 1205807013
  Medicare reassignment NPD
• Carrington Health Center

  dba CHI St. Alexius Health Carrington Medical Clinic & Urgent Care

  • Rural Health Clinic/Center
  • Carrington, ND
  • NPI 1558389338
  Medicare reassignment NPD
• Lisbon Area Health Services

  dba CHI Lisbon Health

  • Critical Access Hospital
  • Lisbon, ND
  • NPI 1609872431
  Medicare reassignment NPD
• Lisbon Area Health Services

  dba CHI Lisbon Health

  • Clinic/Center
  • Lisbon, ND
  • NPI 1811168958
  Medicare reassignment NPD

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

• Avera McKennan

  dba Avera Hand County Memorial Hospital

  • Critical Access Hospital
  • Miller, SD
  • NPI 1922277060
  Care Compare affiliation
• Carrington Health Center

  dba CHI St. Alexius Health Carrington

  • Critical Access Hospital
  • Carrington, ND
  • NPI 1205807013
  Care Compare affiliation
• Holy Family Memorial Inc

  dba Froedtert Holy Family Memorial Hospital

  • General Acute Care Hospital
  • Manitowoc, WI
  • NPI 1700998697
  Care Compare affiliation
• Richland Hospital

  • Critical Access Hospital
  • Richland Center, WI
  • NPI 1659301273
  Care Compare affiliation
• Valley County Hospital

  dba Valley County Health System

  • Critical Access Hospital
  • Ord, NE
  • NPI 1609834985
  Care Compare affiliation

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1861461329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CAMPUS DRIVE",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-319-0634",
            "fax_number": "763-519-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CAMPUS DRIVE",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-519-0634",
            "fax_number": "763-519-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "COURTNEY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "39456",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MN",
            "license": "39456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "991942200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376913000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP27198",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryann Elizabeth Whitely, MA, LPCC
• Cassandra Whiteside, OTR/L
• Catherine Whiting, M.D.
• Whitney Sleep Associates (Whitney Sleep Center)
• Whitney Sleep Associates LLC (Whitney Sleep Center)
• Nathan Michael Wick, DO
• Thane David Widmer, DPT
• Krista Jean Wieneke
• Jennifer Lynn Wiita, CRNA
• Wild Flower Health Care Services, Inc.

• Sleep Medicine (Internal Medicine) Physician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Sleep Medicine (Internal Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.