NPIMap

Individual provider Active NPI

Joe E Whitaker, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1881613859
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME59366 Issued in FL
Practice address
4108 Henderson Blvd
Tampa, FL 33629-5750
Phone
(813) 289-4321
Fax
(813) 287-2949
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME59366 FL Primary

Addresses

Primary practice location

4108 Henderson Blvd
Tampa, FL 33629-5750

Mailing address

4108 Henderson Blvd
Tampa, FL 33629-5750
Phone (813) 289-4321

Other identifiers 3

IdentifierTypeStateIssuer
00004389OtherFLUNITED
062181100MedicaidFL
110178340OtherFLRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000976 FL Practitioner - Internal Medicine 5092783530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Cincinnati College of Medicine and Surgery, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whitaker,Weintraub and Grizzard, MD,PAGroup PAC ID 1456329986, 5 clinicians

Practice addresses (Care Compare)

4108 Henderson Blvd
Tampa, FL 33629-5750
Phone (813) 289-4321

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Tampa, FL, CCN 683149
  • Baycare Home Care Inc Home health agency, Tampa, FL, CCN 107285
  • Vna Plus Home health agency, Tampa, FL, CCN 687180
  • Empower Home Care Home health agency, Sun City Center, FL, CCN 687110
  • Vitalcaring Group Home health agency, Tampa, FL, CCN 109761
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • H Lee Moffitt Cancer Center & Research Institute I Hospital, Tampa, FL, CCN 100271
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Whitaker,Weintraub & Grizzard, MD,PA Internal Medicine CurrentSince Mar 1, 1999 Accepting new patients

Locations

4108 Henderson Blvd
Tampa, FL 33629
Phone (813) 289-4321

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1881613859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295750",
            "telephone_number": "813-289-4321",
            "fax_number": "813-287-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295750",
            "telephone_number": "813-289-4321",
            "fax_number": "813-287-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JOE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "00004389",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062181100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110178340",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.