Active NPI
Ronald Ned Whitmer, DO
- Family Medicine Physician
- Ellsworth, KS
National Provider Identifier
1871593475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0518778
- Practice address
- 1602 N Aylward Ave
Ellsworth, KS 67439-2541 - Phone
- (785) 472-3111
- Fax
- (785) 472-5396
- NPI assigned
- Jul 26, 2005
- Last updated
- Aug 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0518778 | KS | Primary |
Addresses
Primary practice location
1602 N Aylward Ave
Ellsworth, KS 67439-2541
Mailing address
PO Box 103
Ellsworth, KS 67439-0103
Phone (785) 472-3111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100229970G | Medicaid | KS | |
| 060674 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0518778 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Kansas, PA | Family Medicine | Past | Accepting new patients |
| Wilson Operator, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Ellsworth, KS
- NPI 1609877398
-
- Internal Medicine Physician
- Newton, KS
- NPI 1104864503
Family Medicine
-
- Skilled Nursing Facility
- Wilson, KS
- NPI 1518516517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376179200000",
"number": "1871593475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 103",
"city": "ELLSWORTH",
"state": "KS",
"postal_code": "674390103",
"telephone_number": "785-472-3111",
"fax_number": "785-472-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 N AYLWARD AVE",
"city": "ELLSWORTH",
"state": "KS",
"postal_code": "674392541",
"telephone_number": "785-472-3111",
"fax_number": "785-472-5396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMER",
"first_name": "RONALD",
"middle_name": "NED",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2013-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0518778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100229970G",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "060674",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellsworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.