Provider Demographics
NPI:1205840444
Name:BURROWS, WHITNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:BURROWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 N BROAD STREET
Mailing Address - Street 2:001A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-4106
Mailing Address - Country:US
Mailing Address - Phone:215-728-6900
Mailing Address - Fax:215-728-2773
Practice Address - Street 1:333 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-2434
Practice Address - Country:US
Practice Address - Phone:215-728-6900
Practice Address - Fax:215-728-2773
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057767208600000X
MDD57767208G00000X
PAMD479514208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD61160301OtherBLUE SHIELD
MD0061OtherCAREFIRST REGIONAL
MD2095406OtherUNITED HLTHCARE NATIONAL
MD330005840Medicaid
MD292773OtherMDIPA
MD227436OtherKAISER
MD1701251OtherUNITED HLTHCARE
MD0061OtherCAREFIRST REGIONAL
MD330005840Medicare ID - Type UnspecifiedRAILROAD
MD330005840Medicaid