Provider Type Icon

JOHN R. WHITTAKER M.D. PLLC NPI 1114363108


NPI Information

NPI: 1114363108
Provider Name: JOHN R. WHITTAKER, M.D., PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
20240 W 12 MILE RD
SUITE 3
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 423-0903
Get Directions

JOHN R. WHITTAKER, M.D., PLLC is a surgery in Southfield, MI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. JOHN R. WHITTAKER, M.D., PLLC NPI is 1114363108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20240 W 12 MILE RD
SUITE 3
SOUTHFIELD, MI
ZIP 48076-426
Phone: (248) 423-0903
Fax: (248) 423-0905

The provider's authorized official is John Raymond Whittaker .
The authorized official title is President and has the following contact phone number (248) 423-0903.

The enumeration date for this NPI number is 5/16/2013 and was last updated on 5/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery4301039465MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12120509MEDICAIDMICHIGAN
2A73848MEDICARE UPINMICHIGAN
30630614MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.