JACK H. WHITAKER MD – NPI #1922064047
Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
JACK WHITAKER is a physician located in GREENEVILLE, TN. NPPES has assigned the NPI number 1922064047 to JACK WHITAKER on April 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease
The NPI profile was last updated on Oct 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK WHITAKER below.
NPI Profile for
JACK H. WHITAKER
(more than 20 years ago)
SUITE 1500
GREENEVILLE, TN 37745 Phone: (423) 638-2270 Fax: (423) 928-0219
SUITE 6A
KINGSPORT, TN 37660-3365 Phone: (423) 408-7220 Fax: (423) 408-7405
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for JACK WHITAKER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BCBS | TN | 4082722 |
| other | JOHN DEERE | TN | TN01S2 |
| medicaid | TN | 3078282 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RC0000X - Internal Medicine / Cardiovascular Disease (Primary) |
VA | 0101245897 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JACK WHITAKER is affiliated with the following medical group(s):
- HOSPITAL
- GREENEVILLE COMMUNITY HOSPITAL1420 TUSCULUM BOULEVARD
GREENEVILLE, TN 37745 - JOHNSON CITY MEDICAL CENTER400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604 - JOHNSTON MEMORIAL HOSPITAL16000 JOHNSTON MEMORIAL DRIVE
ABINGDON, VA 24211
- GREENEVILLE COMMUNITY HOSPITAL1420 TUSCULUM BOULEVARD
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