DR. GWENDOLYN RUTH WHITLEY


Address: 257 Branchwood Cir Ne, Concord, NC 28025-3103
Phone: 7047011007

DR. GWENDOLYN RUTH WHITLEY (NPI# 1679524193) 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) 1679524193
Entity Type Individual
Full Name DR. GWENDOLYN RUTH WHITLEY
Credential MD
Practice Address 257 Branchwood Cir Ne
Concord
NC 28025-3103
Practice Telephone 7047011007
Practice Fax Number 7042623375
Mailing Telephone 7047011007
Mailing Fax Number 7042623375
Enumeration Date 2006-05-12
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
175868 WI Allopathic & Osteopathic Physicians
X 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
46430 MN Allopathic & Osteopathic Physicians
X 207Q00000X Family Medicine 37585 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI WISCONSIN MEDICAL LICENSE 175868 01
NC NC MEDICAL LICENSE NUMBER 37685 01
MN MN MEDICAL LICENSE 46430 01
NC DEA NUMBER BW1064473 01

Office Location

Street Address 257 BRANCHWOOD CIR NE
City CONCORD
State NC
Zip Code 28025-3103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588051668 Lauren Hyde Emergency Medicine 250 Pleasant St, Concord, NH 03301 2015-04-16
1669866141 Matthew Causland Ruppel Emergency Medicine 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 2015-03-24
1396030391 Elizabeth J Hoffman Emergency Medicine 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 2011-06-17
1003074832 Ashley Ann Fox Emergency Medicine 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 2008-05-29
1528083250 Matthew P Warden Emergency Medicine 250 Pleasant St, Concord, NH 03301-7539 2006-07-13
1437185618 Lon J Setnik Emergency Medicine 250 Pleasant St, Emergency Department, Concord, NH 03301-7539 2006-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487142105 Sidney B Mccall Emergency Medicine 817 N Spence Ave, Goldsboro, NC 27534-4267 2018-04-27
1538664099 Unc Rockingham Health Care, Inc. Emergency Medicine 6701 Nc Highway 135, Mayodan, NC 27027-8487 2018-03-27
1871095356 Sunny Point Fire & Rescue Emergency Medicine 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 2018-03-01
1073916003 Christopher Leber Emergency Medicine 800 Holly St, Aberdeen, NC 28315-3102 2014-10-05
1194153569 Morehead Memorial Hospital Emergency Medicine 6701b Nc Hwy 135, Mayodan, NC 27027-8487 2013-10-23
1376980417 Beatty Medical Consulting, PC Emergency Medicine 9507 Brandemere Ct, Charlotte, NC 28210-1027 2013-05-30
1689841876 Pablo Oscar Medina Jr. Emergency Medicine 2684 Woodruff St, Fort Bragg, NC 28310-0001 2008-05-15
1598703290 Town of Morehead City Emergency Medicine 4034 Arendell St, Morehead City, NC 28557-2925 2006-06-03
1801844436 Piedmont Urgent Care of N.c Emergency Medicine 2972 N Center St, Hickory, NC 28601-1159 2006-05-05
1417916271 Richard Lequeux Bradner Emergency Medicine 9720 S Tryon St, Charlotte, NC 28273-6578 2006-03-21
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Competitor

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City CONCORD
Zip Code 28025

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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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