DR. SHIRLEY A WHITAKER (NPI# 1376524199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376524199 |
| Entity Type | Individual |
| Full Name | DR. SHIRLEY A WHITAKER |
| Other Name | SHIRLEY A JACKSON |
| Credential | MD |
| Practice Address |
2150 Main St Springfield MA 01104-3566 |
| Mailing Address |
Po Box 366 Ludlow MA 01056-0366 |
| Practice Telephone | 4137330010 |
| Practice Fax Number | 4139302108 |
| Mailing Telephone | (413) 733-0010 |
| Mailing Fax Number | 4139302108 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
59030 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0195031 | 05 |
| Street Address |
2150 MAIN ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-3566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604870 | Chih Ming Chen | Internal Medicine | 2150 Main St, Springfield, MA 01104-3300 | 2005-10-24 |
| 1689138844 | Ann Hinckley | Registered Nurse | 2150 Main St, Springfield, MA 01104-3566 | 2019-01-22 |
| 1194234963 | Brittany Chew | Nurse Practitioner | 2150 Main St, Springfield, MA 01104-3566 | 2017-09-25 |
| 1467981589 | Tanya Torres | Dietitian, Registered | 2150 Main St, Springfield, MA 01104-3566 | 2017-06-12 |
| 1730610650 | Hampden Pulmonary and Sleep Medicine LLC | Internal Medicine | 2150 Main St, Springfield, MA 01104-3566 | 2017-03-22 |
| 1598202558 | Kidney Care and Transplant Services of New England, PC | Surgery | 2150 Main St, Springfield, MA 01104-3566 | 2017-01-27 |
| 1083062863 | Jyovani Joubert | Physician Assistant | 2150 Main St, Springfield, MA 01104-3566 | 2016-06-02 |
| 1194100792 | Spencer Hodgins | Internal Medicine | 2150 Main St, Springfield, MA 01104-3566 | 2015-07-23 |
| 1154724839 | Mary Catherine Chrabaszcz | Nurse Practitioner | 2150 Main St, Springfield, MA 01104-3566 | 2014-10-08 |
| 1346649019 | Jacqueline A. Connor | Physician Assistant | 2150 Main St, Springfield, MA 01104-3566 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1255564829 | Richard Thomas Bilinsky | Internal Medicine | 3700 W Bluffs Rd, Springfield, IL 62711-9269 | 2009-08-31 |
| 1881884179 | Amit Pal Singh | Internal Medicine | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | 2007-08-01 |
| 1336278225 | Thomas H Ebert | Internal Medicine | Health New England, One Monarch Place, Springfield, MA 01144 | 2007-03-05 |
| 1851473730 | Pavan Chopra | Internal Medicine | 3355 Riverbend Drive Suite 200, Springfield, OR 97477-0000 | 2006-10-19 |
| 1073534004 | Eugene Springfield Nephrology Associates, PC | Internal Medicine | 3355 Riverbend Dr Ste 200, Springfield, OR 97477 | 2006-07-23 |
| 1255302626 | Ashraf Tamizuddin | Internal Medicine | 3401 Conifer Dr, Springfield, IL 62711-8300 | 2006-02-01 |
| 1568432581 | Maria Victoria Largoza | Internal Medicine | 100 W Sproul Rd Ste 224, Springfield, PA 19064-2033 | 2006-01-23 |
| 1740264365 | Nicolas A. Forero | Internal Medicine | 350 W Carpenter St, Springfield, IL 62702-4902 | 2005-12-06 |
| 1174516652 | Pius Kurian | Internal Medicine | 2200 N Limestone St Ste 114, Springfield, OH 45503-2692 | 2005-08-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
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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.