MARK D WHITAKER


Address: 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013
Phone: 6237801999

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 2347 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 279704 05

Other Providers MARK WHITAKER

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

Office Location

Street Address 19636 N 27TH AVE
SUITE 308
City PHOENIX
State AZ
Zip Code 85027-4013

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PHOENIX
Zip Code 85027

Improve Information

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Dataset Information

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.

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