DR. JOHN DAVID WHITTAKER (NPI# 1548220692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548220692 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID WHITTAKER |
| Credential | M.D. |
| Practice Address |
305 10th St Pocomoke City MD 21851-1607 |
| Mailing Address |
10026 Old Ocean City Blvd Ste 1 Berlin MD 21811-1288 |
| Practice Telephone | 4109572112 |
| Practice Fax Number | 4109574935 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0053262 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457492209 | John Roger Whittaker | Urology | 710 Lomax St, Jacksonville, FL 32204-4004 | 2007-02-12 |
| 1679622534 | John Mervyn Whittaker | Dentist | 25455 Barton Rd Ste 203b, Loma Linda, CA 92354-3133 | 2007-01-09 |
| 1568422566 | John Raymond Whittaker | Surgery | 27209 Lahser Rd, Ste 224, Southfield, MI 48034-8401 | 2006-03-24 |
| Street Address |
305 10TH ST |
| City | POCOMOKE CITY |
| State | MD |
| Zip Code | 21851-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528468774 | Michelle Katherine Trego | Social Worker | 305 10th St, Pocomoke City, MD 21851 | 2014-08-25 |
| 1982871034 | Three Lower Counties Community Services, Inc. | Clinic/Center | 305 10th St, Suite 104, Pocomoke City, MD 21851-1607 | 2008-05-08 |
| 1881866408 | Marva Health Services LLC | Pharmacy | 305 10th St, Ste 103, Pocomoke City, MD 21851-1607 | 2008-03-25 |
| 1538357595 | John Whittaker Md LLC | Family Medicine | 305 10th St, Suite 105, Pocomoke City, MD 21851-1607 | 2007-10-04 |
| 1861686313 | Blue Heron Medical Group LLC | Family Medicine | 305 10th St, Ste 101, Pocomoke City, MD 21851-1607 | 2007-08-28 |
| 1164641437 | Salisbury Physical Therapy & Sportsmedicine | Physical Therapist | 305 10th St, Suite 102, Pocomoke City, MD 21851-1607 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720572464 | Victoria Dorman Elyse Dorman | Occupational Therapist | 1006 Market St., Pocomoke, MD 21851 | 2018-06-17 |
| 1164967436 | Debra Bell | In Home Supportive Care | 902 Ocean Highway, Pro Box 473, Pocomoke, MD 21851 | 2016-12-22 |
| 1588042956 | Joshua Steven Brewer | Family Medicine | 305 10th St Ste 101, Pocomoke City, MD 21851 | 2015-05-18 |
| 1023134566 | City of Pocomoke | Ambulance | City Hall 101 Clarke Avenue, Pocomoke, MD 21851 | 2007-03-22 |
| 1457413015 | Anna B. Hatchell | Counselor | Pocomoke Health Center, 400-a Walnut Street, Pocomoke, MD 21851 | 2006-12-13 |
| 1376613240 | Gloria R. Nock | Registered Nurse | 400-a Walnut Street, Pocomoke Health Center, Pocomoke, MD 21851 | 2006-11-08 |
| 1124102462 | Deborah A. Choquette | Registered Nurse | 400a Walnut Street, Pocomoke Health Center, Pocomoke, MD 21851 | 2006-10-24 |
| 1245364181 | Doris C. Garner | Psychologist | Pocomoke Health Center, 400a Walnut Street, Pocomoke, MD 21851 | 2007-03-15 |
| 1326182395 | Lisa A. Wheatley | Counselor | Pocomoke Health Center, 400-a Walnut Street, Pocomoke, MD 21851 | 2007-02-16 |
| 1619022217 | Kutresa K. Lankford-purnell | Counselor | Pocomoke Health Center, 400a Walnut Street, Pocomoke, MD 21851 | 2007-01-24 |
| Find all providers in zip 21851 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588042956 | Joshua Steven Brewer | Family Medicine | 305 10th St Ste 101, Pocomoke City, MD 21851 | 2015-05-18 |
| 1538357595 | John Whittaker Md LLC | Family Medicine | 305 10th St, Suite 105, Pocomoke City, MD 21851-1607 | 2007-10-04 |
| 1861686313 | Blue Heron Medical Group LLC | Family Medicine | 305 10th St, Ste 101, Pocomoke City, MD 21851-1607 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | POCOMOKE CITY |
| Zip Code | 21851 |
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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.