Keith Whiteman (NPI# 1265847198, PAC ID# 7012135213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265847198 |
| PAC ID by PECOS | 7012135213 |
| Professional Enrollment ID | I20180801002408 |
| Full Name | Keith Whiteman |
| Organization Legal Name | BLUE RIDGE COMMUNITY HEALTH SERVICES INC |
| Address |
490 Hospital Dr Clyde NC 28721-8026 |
| Phone Number | 8286924289 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3173434743 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340184 | HAYWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 490 Hospital Dr, Clyde, NC 28721-8026 | 8286924289 | BLUE RIDGE COMMUNITY HEALTH SERVICES INC |
| 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 | 8286924289 | BLUE RIDGE COMMUNITY HEALTH SERVICES INC |
| 293 Hospital Rd, Sylva, NC 28779-5195 | 82869242892201 | BLUE RIDGE COMMUNITY HEALTH SERVICES INC |
| Organization Legal Name | BLUE RIDGE COMMUNITY HEALTH SERVICES INC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke Thompson | Physician Assistant | Blue Ridge Community Health Services Inc | 293 Hospital Rd, Sylva, NC 28779-5195 |
| Susannah M Francis | Nurse Practitioner | Blue Ridge Community Health Services Inc | 155 W Mills St, Columbus, NC 28722-9412 |
| Maureen Anne Macconnell | Nurse Practitioner | Blue Ridge Community Health Services Inc | 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 |
| Amy E Marietta | Family Medicine | Blue Ridge Community Health Services Inc | 161 Walker St, Columbus, NC 28722-9433 |
| Bonnie G Green | Family Practice | Blue Ridge Community Health Services Inc | Howasrd Gap Rd and 64, Hendersonville, NC 28793 |
| Juelena L Todd | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Lisa M Ladd | Family Medicine | Blue Ridge Community Health Services Inc | 142 Airport Rd, Unit Kl, Arden, NC 28704-8597 |
| Kelly Garcia | Family Medicine | Blue Ridge Community Health Services Inc | 293 Hospital Rd, Sylva, NC 28779-5195 |
| Susan H Caceres Araya | Nurse Practitioner | Blue Ridge Community Health Services Inc | 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 |
| Rebecca J Price | Registered Dietitian Or Nutrition Professional | Blue Ridge Community Health Services Inc | 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 |
| Street Address |
490 HOSPITAL DR |
| City | CLYDE |
| State | NC |
| Zip | 28721-8026 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan William Bentley | Nurse Practitioner | Blue Ridge Community Health Services Inc | 490 Hospital Dr, Clyde, NC 28721-8026 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark M Steinke | Physician Assistant | Mission Community Anesthesiology Specialists LLC | 360 Hospital Dr, Clyde, NC 28721-0107 |
| Allyson Self Pickens | Nurse Practitioner | Mission Community Anesthesiology Specialists LLC | 360 Hospital Dr, Clyde, NC 28721-0107 |
| Eva O Massie | Nurse Practitioner | Mh Transylvania Regional Hospital, Lllp | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| Korey L Geerdes | Physician Assistant | Mh Transylvania Regional Hospital, Lllp | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| David Grant Mulholland | Family Practice | Transylvania Community Hospital Inc | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| Katharine Anne Rasche | Family Practice | Transylvania Community Hospital Inc | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| Anna Lopez Stratton | Family Practice | Transylvania Community Hospital Inc | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| Linda Yanik Dula | Family Practice | Transylvania Community Hospital Inc | 360 Hospital Dr, Clyde, NC 28721-0107 |
| Russell W Buford | Clinical Psychologist | Transylvania Community Hospital Inc | 360 Hospital Dr, Clyde, NC 28721-0107 |
| Christopher Todd Wenzel | Otolaryngology | Western Carolina Ear Nose and Throat Specialists Pllc | 63 Haywood Park Dr, Clyde, NC 28721-4404 |
| Find all physicians in zip 28721 | |||
| City | CLYDE |
| Zip Code | 28721 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLYDE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.