DR. BRADLEY WHITAKER (NPI# 1821089624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821089624 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY WHITAKER |
| Credential | DPM., FACFAS |
| Practice Address |
2163 W Orange Grove Rd Tucson AZ 85741-3118 |
| Practice Telephone | 5205750800 |
| Practice Fax Number | 5205750093 |
| Mailing Telephone | 5205750800 |
| Mailing Fax Number | 5205750093 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2012-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0446 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CIGNA | 6287561009 | 01 |
| AZ | HEALTH NET | 1Z3482 | 01 |
| AZ | AETNA | 5507194 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0191940 | 01 |
| AZ | 337627 | 05 | |
| AZ | RAILROAD MEDICARE | 480030868 | 01 |
| Street Address |
2163 W ORANGE GROVE RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699099978 | Peter Cole Merrill | Podiatrist | 2163 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2010-03-16 |
| 1275561854 | Desert Podiatric Medical Specialists PC | Podiatrist | 2163 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2006-06-30 |
| 1174514806 | Richard C Mott | Podiatrist | 2163 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2005-11-02 |
| 1720079528 | Christopher Funk | Podiatrist | 2163 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1366095374 | Rita Jean Weatherholt | Counselor | 7382 N Lacholla Blvd., Tucson, AZ 85741 | 2019-07-18 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1366954703 | Solterra La Cholla Operations, Lp | Assisted Living Facility | 6505 North La Cholla Blvd, Tucson, AZ 85741 | 2017-10-25 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1841672763 | Gang Li | Dentist | 2242 W Distant Song St., Tucson, AZ 85741 | 2015-06-27 |
| 1467870378 | Lisa Tucci | Nurse Practitioner | 7105 N. Lacholla Blvd., Tucson, AZ 85741 | 2014-03-29 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| Find all providers in zip 85741 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1801183744 | David Wayne Gooch | Podiatrist | 6565 E Carondelet Dr # 385, Tucson, AZ 85710-2117 | 2011-06-29 |
| 1235365685 | Andrea Renee Roemer | Podiatrist | 5600 W Placita Del Risco, Tucson, AZ 85745-9196 | 2009-05-29 |
| 1659514818 | Tara Fay Shirley | Podiatrist | 899 N Wilmot Road Ste E6, Tucson, AZ 85711-1714 | 2009-04-16 |
| 1386652444 | James F. Dancho | Podiatrist | 4629 S Almond St, Tucson, AZ 85730-4619 | 2006-08-04 |
| 1497786750 | Eric H Espensen | Podiatrist | 1500 N Campbell Ave, Room 4402, Tucson, AZ 85724-5872 | 2006-07-05 |
| 1104813237 | Glenn E. Nelson | Podiatrist | 2308 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2005-10-04 |
| 1790207363 | Patrick Law | Podiatrist | 3601 S 6th Ave, Tucson, AZ 85723 | 2017-07-14 |
| 1023541455 | Parth Patel | Podiatrist | 2308 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2017-04-03 |
| 1649634320 | Mohanad Eltahir | Podiatrist | 5300 E Erickson Dr Ste 118, Tucson, AZ 85712-2809 | 2016-04-08 |
| Find all providers in TUCSON | ||||
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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.