MARK D WHITAKER (NPI# 1578572384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578572384 |
| Entity Type | Individual |
| Full Name | MARK D WHITAKER |
| Credential | DO |
| Practice Address |
19636 N 27th Ave Suite 308 Phoenix AZ 85027-4013 |
| Mailing Address |
2500 W Utopia Rd Ste. 100 Phoenix AZ 85027-4171 |
| Practice Telephone | 6237801999 |
| Practice Fax Number | 6235160950 |
| Mailing Telephone | 6237801999 |
| Mailing Fax Number | 6235160950 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2347 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 279704 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043453277 | Mark Alan Whitaker | Pediatrics | 16316 173rd Ave Ne, Woodinville, WA 98072-9140 | 2009-04-17 |
| 1811979271 | Mark Camden Whitaker | Orthopaedic Surgery | 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 | 2005-11-18 |
| 1629632716 | Mark Whitaker | Counselor | 8501 Lasalle Road, Suite 115, Towson, MD 21286 | 2019-04-24 |
| 1285685966 | Mark E. Whitaker | Otolaryngology | 500 University Dr, Hershey, PA 17033-2360 | 2006-05-15 |
| 1366414112 | Mark Dwight Whitaker | Radiology | 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | 2006-02-06 |
| Street Address |
19636 N 27TH AVE SUITE 308 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647618 | Jeanne Lamont | Obstetrics & Gynecology | 19636 N 27th Ave, Ste 401, Phoenix, AZ 85027-4021 | 2005-05-31 |
| 1891246773 | John C Lincoln, LLC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2016-10-17 |
| 1093128316 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 106, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1033522370 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 202, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1639513047 | Jessica Rose Williams | Family Medicine | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2013-04-29 |
| 1740587534 | North Mountain Imaging Specialists, LLC | Radiology | 19636 N 27th Ave, Suite Ll1, Phoenix, AZ 85027-4013 | 2011-02-15 |
| 1487958583 | Arizona Pharmacy, LLC | Pharmacy | 19636 N 27th Ave, Suite 104, Phoenix, AZ 85027-4013 | 2011-01-04 |
| 1205158029 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 19636 N 27th Ave, Suite 401, Phoenix, AZ 85027-4013 | 2010-02-20 |
| 1871727677 | North Valley Podiatry, LLC | Podiatrist | 19636 N 27th Ave, Suite 208, Phoenix, AZ 85027-4013 | 2009-05-07 |
| 1003056425 | Northwest Oncology & Hematology, Pllc | Internal Medicine | 19636 N 27th Ave, Suite 303, Phoenix, AZ 85027-4013 | 2009-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| 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 |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
| Find all providers in PHOENIX | ||||
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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.