DR. KENNETH CLIFFORD WHITHAUS (NPI# 1619060787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619060787 |
| Entity Type | Individual |
| Full Name | DR. KENNETH CLIFFORD WHITHAUS |
| Credential | M.D. |
| Practice Address |
1899 Eider Ct Tallahassee FL 32308-4537 |
| Mailing Address |
1899 Eider Court Tallahassee FL 32308-4537 |
| Practice Telephone | 8502197640 |
| Mailing Telephone | 8502197640 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD.29340 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | R9321 | AL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ME LICENCE NUMBER | ME 109950 | 01 |
| Street Address |
1899 EIDER CT |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891774683 | Marcus Stewart Fisher | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2006-01-11 |
| 1093126930 | Amanda Aronchick | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2014-05-14 |
| 1245670082 | Erin Marie Carlquist | Pathology | 1899 Eider Ct, Tallahassee, FL 32308 | 2013-06-25 |
| 1548524044 | Vatsal Patel | Otolaryngology | 1899 Eider Ct, Tallahassee, FL 32308 | 2012-06-28 |
| 1346440690 | Ronald Paul Mageau | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2007-07-24 |
| 1477754976 | Anthony Jose Clark | Pathology | 1899 Eider Ct, Kwb Pathology Assoc. District 2 O.m.e, Tallahassee, FL 32308-4537 | 2007-05-30 |
| 1497801070 | Nicole Nabors Balmer | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2007-01-26 |
| 1831105311 | Bo Hong | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2006-08-01 |
| 1457379992 | Christopher R Price | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2006-07-17 |
| 1558335869 | Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert | Clinical Medical Laboratory | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240169 | A. Lynn H. Dolson | Pathology | 3726 Bobbin Brk E, Tallahassee, FL 32312-1240 | 2006-01-26 |
| 1891774683 | Marcus Stewart Fisher | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2006-01-11 |
| 1093126930 | Amanda Aronchick | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2014-05-14 |
| 1245670082 | Erin Marie Carlquist | Pathology | 1899 Eider Ct, Tallahassee, FL 32308 | 2013-06-25 |
| 1346440690 | Ronald Paul Mageau | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2007-07-24 |
| 1497801070 | Nicole Nabors Balmer | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2007-01-26 |
| 1831105311 | Bo Hong | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2006-08-01 |
| 1457379992 | Christopher R Price | Pathology | 1899 Eider Ct, Tallahassee, FL 32308-4537 | 2006-07-17 |
| 1184687352 | John A Blackmon | Pathology | 2400 Miccosukee Rd, Tallahassee, FL 32308-5314 | 2006-04-10 |
| 1952360752 | David Wolfson | Pathology | 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 | 2006-03-21 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.