Individual
DR. ROSS WHITACRE
Active
Individual
DR. ROSS WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01063354A
IN
208100000X
Physical Medicine & Rehabilitation Physician
58416
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000518290
ANTHEM
IN
05
—
200860410
—
IN
Enumeration date
03/16/2007
Last updated
05/13/2026
Update your record
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