Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD15267 | ME |
Y | 208200000X | Surgeon | MD15267 | ME |
Y | 208600000X | Surgeon | MD15267 | ME |
NPI | 1205812070 |
---|---|
Provider Name | James F Whiting |
First Address | Scarborough, ME 04074-9701 |
Second Address | Portland, ME 04102-3100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 18/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1010757 | (05) | VT |
301010099 | (05) | ME |
30201273 | (05) | NH |
990015332 | RR MEDICARE (01) | ME |
E16217 | (02) |