Individual
THEODORE M. WHITAKER
Active
Individual
THEODORE M. WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R1D87
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242039642
—
MO
Enumeration date
10/31/2005
Last updated
03/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up