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MR. KEATON ROBERT WHITCOMB PA-C NPI 1841957396


NPI Information

NPI: 1841957396
Provider Name: MR. KEATON ROBERT WHITCOMB, PA-C
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
Address:
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 265-1711
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MR. Keaton Robert Whitcomb, PA-C is a thoracic surgery cardiothoracic vascular surgery in Albuquerque, NM. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. MR. Keaton Robert Whitcomb, PA-C NPI is 1841957396. 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:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
ZIP 87108-153
Phone: (505) 265-1711

The enumeration date for this NPI number is 11/19/2021 and was last updated on 8/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalNEW MEXICONo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)PA2023-0238NEW MEXICOYes

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

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