JENNIFER J WHITEHAIR (NPI# 1134236607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134236607 |
| Entity Type | Individual |
| Full Name | JENNIFER J WHITEHAIR |
| Other Name | JENNIFER J WHITE |
| Credential | MD |
| Practice Address |
167 North Main Street Tuba City AZ 86045-0600 |
| Mailing Address |
Po Box 600 167 North Main Street Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832501 |
| Practice Fax Number | 9282832677 |
| Mailing Telephone | 9282832501 |
| Mailing Fax Number | 9282832677 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD2006-0532 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
167 NORTH MAIN STREET |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906645 | Thomas Joseph Peters | Orthopaedic Surgery | 167 North Main Street, Tuba City, AZ 86045-0600 | 2005-07-15 |
| 1134696412 | Young Chou | Pharmacist | 167 North Main Street, Tuba City, AZ 86045 | 2018-10-25 |
| 1447736186 | Kenneth Hale | Dentist | 167 North Main Street, Tuba City, AZ 86045 | 2018-07-16 |
| 1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
| 1811484314 | Elizabeth Sullivan | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
| 1093217945 | Scott Cerreta | Respiratory Therapist, Registered | 167 North Main Street, Po Box 600, Tuba City, AZ 86045-0600 | 2018-03-07 |
| 1821502287 | Rachel Dye | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-21 |
| 1467965319 | Amber Vaughn | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-14 |
| 1639682701 | Roselita Sloan | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-13 |
| 1306359518 | Debra Marshall | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972965622 | Madeline Elizabeth Eells | Obstetrics & Gynecology | 167 N Main St, Tuba City, AZ 86045-0600 | 2016-03-22 |
| 1770638827 | Kathy A Deasy | Obstetrics & Gynecology | 167 North Main Street, Tuba City, AZ 86045-0600 | 2007-01-25 |
| 1639106792 | Holly V. Alfrey-van Dyk | Obstetrics & Gynecology | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-26 |
| 1174550230 | Amanda Leib | Obstetrics & Gynecology | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-26 |
| 1275569154 | James Scott Deasy | Obstetrics & Gynecology | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-23 |
| 1184650061 | Kathleen A Harner | Obstetrics & Gynecology | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-23 |
| 1992731871 | Sterling J Ryerson | Obstetrics & Gynecology | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-23 |
| 1922082973 | John M Heusinkveld | Obstetrics & Gynecology | 167 North Main Street, Tuba City, AZ 86045-0600 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724477 | Lilac Healthcare LLC | Obstetrics & Gynecology | 655 S Dobson Rd Ste A101, Chandler, AZ 85224-5675 | 2019-11-15 |
| 1619538907 | Marchand Obgyn and Partners Pllc | Obstetrics & Gynecology | 10238 E Hampton Ave Ste 212b, Mesa, AZ 85209-3316 | 2019-06-26 |
| 1215594809 | Deleonguerrero Obgyn, Pllc | Obstetrics & Gynecology | 1100 N. San Francisco St, Ste B, Flagstaff, AZ 86001-3200 | 2019-05-20 |
| 1902378342 | Rmercadomd, LLC | Obstetrics & Gynecology | 1500 North Wilmot Road, #c-260, Tucson, AZ 85712-4416 | 2018-12-26 |
| 1851863591 | William Quesenberry | Obstetrics & Gynecology | 85 Evergreen Dr, Sedona, AZ 86336-3043 | 2018-12-19 |
| 1982173779 | Kathryn Diana Kenton Kohler | Obstetrics & Gynecology | 767 E Canyon Rock Rd, Green Valley, AZ 85614-5246 | 2018-11-21 |
| 1003313362 | Womens Health Palace Pllc | Obstetrics & Gynecology | 1491 N Arizona Blvd Ste 110, Coolidge, AZ 85128-3261 | 2018-04-12 |
| 1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
| 1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
| 1497295836 | Jei Holdings, LLC | Obstetrics & Gynecology | 9377 E Bell Rd Ste 313, Scottsdale, AZ 85260-1504 | 2017-03-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.