Mark A. Whitehead
PA-C | Pediatrics | Male
Mark A. Whitehead, PA-C is a Columbia, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mark A. Whitehead is
1222 Trotwood Ave., Ste 108, Columbia, Tennessee - 38401. He can be contacted on phone at
931-388-8965 and fax number 931-840-8520.
Mark A. Whitehead is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark A. Whitehead is
1235326059 which was assigned by NPPES on 25 Sep, 2007 and it was last updated on 13 Feb, 2017.
Mark A. Whitehead license number is
PA0000001531 for Pediatrics (208000000X) in Tennessee.
Mark A. Whitehead is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark A. Whitehead basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mark A. Whitehead |
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| Credential : | PA-C |
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| Gender : | Male |
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Business Address:
Mark A. Whitehead address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1222 Trotwood Ave., Ste 108
Columbia, TN, 38401
United States |
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| Phone Number : | 931-388-8965 |
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| Fax Number : | 931-840-8520 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235326059 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Sep, 2007 |
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| Last Updated On : | 13 Feb, 2017 |
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Medicare Participation:
Mark A. Whitehead participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6406945609 |
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| Medicare Enrollment ID : | I20071210000648 |
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| Primary Specialty : | Physician Assistant |
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| Medical School : | Other |
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| Graduation Year : | 2007 |
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| Accepts Medicare? | Yes. Mark A. Whitehead accepts medicare insurance. |
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Group Practice Association:
Mark A. Whitehead is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mark A. Whitehead is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| One Stop Medical Llc | 1850439332 | 19 | 202 Joe Ave
Hohenwald, TN - 384622002
Ph: 9317969797 | Yes |
| One Stop Medical Llc | 1850439332 | 19 | 326 N Locust Ave
Lawrenceburg, TN - 384643516
Ph: 9317629797 | Yes |
| One Stop Medical Llc | 1850439332 | 19 | 912 W College St
Pulaski, TN - 384783630
Ph: 9314249797 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark A. Whitehead are as mentioned. Primary taxonomy code for Mark A. Whitehead, PA-C is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | PA0000001531 | TN |
| 363A00000X | Physician Assistant | No | 1531 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Mark A. Whitehead such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1501347 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 326 N Locust Ave, Ste B
Lawrenceburg, TN, 38464-3516
United States |
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| Phone Number : | 931-762-9797 |
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| Fax Number : | 931-762-9798 |
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Business Location:
Patients can refer following map for directions to
Mark A. Whitehead practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.