Individual
CHESTER C. ROBERT WHITLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
4517 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7620
(725) 258-2982
(877) 709-4341
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(725) 258-2982
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1517
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740550078
—
NV
01
—
PA1517
STATE LICENSE
NV
01
—
V72760
MEDICARE
NV
Enumeration date
01/03/2012
Last updated
02/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us