Individual provider Active NPI

Metivia-Anne Whitmore, DO

  • Family Medicine Physician
  • Jamestown, NY
National Provider Identifier
1982695839
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
301782 Issued in NY
Practice address
31 Sherman Ave
Suite 2200
Jamestown, NY 14701-2514
Phone
(716) 383-3797
Fax
(716) 753-5367
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 301782 NY Primary

Addresses

Primary practice location

31 Sherman Ave
Suite 2200
Jamestown, NY 14701-2514

Mailing address

31 Sherman Ave
Suite 2200
Jamestown, NY 14701
Phone (716) 338-9797

Other names 1

  • Miss Metivia-Anne Berke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201027001953 NY Practitioner - Family Practice 5294721726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Medical Services PLLCGroup PAC ID 9133221666, 17 clinicians

Practice addresses (Care Compare)

31 Sherman St
Suite 2200
Jamestown, NY 14701-7085
Phone (716) 338-9797

Hospital & facility affiliations

  • Willcare Chha (Buffalo) Home health agency, Buffalo, NY, CCN 337268
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Chautauqua Hospice and Palliative Care Hospice, Lakewood, NY, CCN 331554
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17263CAMDAddiction (Substance Use Disorder) Counselor
001771CTMDProfessional Counselor
011192NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Medical Services Jamestown Convenience Care Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mwhitmore@fhms.medentdirect.com

Organizations & group practices 2

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 6

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1982695839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SHERMAN AVE",
            "address_2": "SUITE 2200",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "14701",
            "telephone_number": "716-338-9797",
            "fax_number": "716-338-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SHERMAN AVE",
            "address_2": "SUITE 2200",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012514",
            "telephone_number": "716-383-3797",
            "fax_number": "716-753-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "METIVIA-ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-07-29",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "301782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "METIVIA-ANNE",
            "last_name": "BERKE",
            "prefix": "MISS",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.