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).
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 |
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 |
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 |
Street Address |
257 BRANCHWOOD CIR NE |
City | CONCORD |
State | NC |
Zip Code | 28025-3103 |
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 |
Find all providers in zip 28025 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.