RICHARD A WHITEHEAD PA NPI 1659351609

NPI Information

NPI: 1659351609
Provider Name: RICHARD A WHITEHEAD, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
SOCPAC SOJ07
BLD 20 RM 212
CAMP H M SMITH, HI
ZIP 96861
Phone: (808) 470-1082
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Richard A Whitehead, PA is a medical physician assistant in Camp H M Smith, HI. Richard A Whitehead, PA NPI is 1659351609. 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:

SOCPAC SOJ07
BLD 20 RM 212
CAMP H M SMITH, HI
ZIP 96861-046
Phone: (808) 470-1082

The enumeration date for this NPI number is 1/17/2006 and was last updated on 1/26/2023.

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	363AM0700X	Physician Assistant	Medical	1070457	GEORGIA	No
2	363AM0700X	Physician Assistant	Medical	13217715-1206	UTAH	Yes

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: 5/5/2024

NPI Synchronization or Removal

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