Individual provider Active NPI

Everest Austin Whited, MD

  • Family Medicine Physician
  • Pflugerville, TX
National Provider Identifier
1902899636
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E6685 Issued in TX
Practice address
103 12TH St
Ste 101
Pflugerville, TX 78660-3960
Phone
(512) 251-2357
Fax
(512) 990-1570
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E6685 TX Primary

Addresses

Primary practice location

103 12TH St
Ste 101
Pflugerville, TX 78660-3960

Mailing address

103 12TH St
Ste 101
Pflugerville, TX 78660-3960
Phone (512) 251-2357

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 Medicine

State licenses

LicenseStateTypeSpecialty
E6685TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1902899636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 12TH ST",
            "address_2": "STE 101",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603960",
            "telephone_number": "512-251-2357",
            "fax_number": "512-990-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 12TH ST",
            "address_2": "STE 101",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603960",
            "telephone_number": "512-251-2357",
            "fax_number": "512-990-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITED",
        "first_name": "EVEREST",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.