Provider Demographics
NPI:1558328898
Name:WHITCOMB, WINTHROP F (MD)
Entity Type:Individual
Prefix:DR
First Name:WINTHROP
Middle Name:F
Last Name:WHITCOMB
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 1:145 VERNON ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2818
Mailing Address - Country:US
Mailing Address - Phone:413-335-8684
Mailing Address - Fax:
Practice Address - Street 1:548 ELM ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2832
Practice Address - Country:US
Practice Address - Phone:413-794-8120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA73170207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3114198Medicaid
CT003119171Medicaid
NY01914034Medicaid
MAJ11179Medicare PIN
MA3114198Medicaid
CT003119171Medicaid