Provider Demographics
NPI:1568446292
Name:WHITEHILL, JEFFREY N (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:N
Last Name:WHITEHILL
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 1:3801 N LAMAR BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-4080
Mailing Address - Country:US
Mailing Address - Phone:512-421-3869
Mailing Address - Fax:512-407-1873
Practice Address - Street 1:2410 ROUND ROCK AVE STE 170
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4002
Practice Address - Country:US
Practice Address - Phone:512-827-0927
Practice Address - Fax:512-827-0928
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2824207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158095302Medicaid
TX1580953-04Medicaid
TX158095301Medicaid
TX158095301Medicaid
TXTXB111086Medicare PIN