DR. STEPHAN HARRIS WHITENACK MD NPI 1538127907

NPI Information

NPI: 1538127907
Provider Name: DR. STEPHAN HARRIS WHITENACK, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
5401 OLD YORK RD
KLEIN 101
PHILADELPHIA, PA
ZIP 19141
Phone: (215) 456-6178
Get Directions

DR. Stephan Harris Whitenack, MD is a vascular surgery surgery in Philadelphia, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Stephan Harris Whitenack, MD NPI is 1538127907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5401 OLD YORK RD
KLEIN 101
PHILADELPHIA, PA
ZIP 19141-030
Phone: (215) 456-6178
Fax: (215) 456-6204

The NPI 1538127907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 1/16/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		MD016782E	PENNSYLVANIA	No
2	2086S0129X	Surgery	Vascular Surgery	MD016782E	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0006557540001	MEDICAID	PENNSYLVANIA
2	B40015	MEDICARE UPIN
3	152881	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

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

NPI Synchronization or Removal

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