HERBERT WHITLEY MD NPI 1659350908

NPI Information

NPI: 1659350908
Provider Name: HERBERT WHITLEY, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
102 HIGHLAND AVE SE
ROANOKE, VA
ZIP 24013
Phone: (540) 224-4545
Get Directions

Herbert Whitley, MD is a pediatric cardiology pediatrics in Roanoke, VA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Herbert Whitley, MD NPI is 1659350908. 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:

102 HIGHLAND AVE SE
ROANOKE, VA
ZIP 24013-255
Phone: (540) 224-4545

The NPI 1659350908 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 1/14/2006 and was last updated on 8/12/2011.

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	2080P0202X	Pediatrics	Pediatric Cardiology	0101-231079	VIRGINIA	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	010264197	MEDICAID	VIRGINIA
2	6725104	MEDICAID	VIRGINIA
3	6736670	MEDICAID	VIRGINIA
4	6720269	MEDICAID	VIRGINIA
5	6736688	MEDICAID	VIRGINIA
6	370001224	MEDICARE PIN	VIRGINIA
7	F48548	MEDICARE UPIN
8	370019442	MEDICARE PIN	VIRGINIA
9	6736661	MEDICAID	VIRGINIA
10	6736653	MEDICAID	VIRGINIA
11	6739636	MEDICAID	VIRGINIA

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: 11/14/2023

NPI Synchronization or Removal

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