DR. JOHN LEE WHITLOCK M.D. NPI 1790713451

NPI Information

NPI: 1790713451
Provider Name: DR. JOHN LEE WHITLOCK, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
136 FURMAN RD
SUITE 7
BOONE, NC
ZIP 28607
Phone: (828) 262-0060
Get Directions

DR. John Lee Whitlock, M.D. is a geriatric medicine internal medicine in Boone, NC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. John Lee Whitlock, M.D. NPI is 1790713451. 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:

136 FURMAN RD
SUITE 7
BOONE, NC
ZIP 28607-038
Phone: (828) 262-0060
Fax: (828) 262-0062

The NPI 1790713451 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 6/29/2006 and was last updated on 1/14/2009.

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	207RG0300X	Internal Medicine	Geriatric Medicine	MD0000009984	TENNESSEE	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	28595	NORTH CAROLINA	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	Other Provider Identifier Issuer
1	211509	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	4176479	MEDICAID	TENNESSEE
3	87232	OTHER	NORTH CAROLINA	BCBS NC
4	3717918	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
5	B02882	MEDICARE UPIN	NORTH CAROLINA
6	46417	OTHER	TENNESSEE	BCBS TN
7	8987232	MEDICAID	NORTH CAROLINA

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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