Whiddon Construction Co., Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CRC1328025 Issued in FL

Legal business name

WHIDDON CONSTRUCTION CO., INC.

Practice address

295 NW Commons Loop
Suite 115-262
Lake City, FL 32055-7709

Phone

(386) 754-7367

Fax

(386) 754-7367

NPI assigned

Feb 12, 2014

Organization subpart

No

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

Authorized official

Name

Roger D Whiddon

Title

President

Phone

(386) 754-7367

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1891119707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 NW COMMONS LOOP",
            "address_2": "SUITE 115-262",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557709",
            "telephone_number": "386-754-7367",
            "fax_number": "386-754-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 NW COMMONS LOOP",
            "address_2": "SUITE 115-262",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557709",
            "telephone_number": "386-754-7367",
            "fax_number": "386-754-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIDDON CONSTRUCTION CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "WHIDDON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-754-7367"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "CRC1328025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001252600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westfield Medical Center Inc
• Aliyatta Paullone Weston, MS IN PSYCHOLOGY
• Casandra Wheeler, PHYSICAL THERAPIST
• Christie Lorraine Cason Wheeler, DMD
• Sondra Wheeler, PA-C
• Brandy Morgan Whilden
• Misty Dawn Whitaker, B.A. DEGREE
• Nicole Carlton White, LMHC
• Wrane Xavier White
• Amapola Dumlao Whiteside, MD

• Durable Medical Equipment & Medical Supplies in Lake City, FL
• Providers in Lake City, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.