Provider Demographics
NPI:1568789519
Name:WHITMER, DAVID (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:WHITMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12808 HOLLINGSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-3823
Mailing Address - Country:US
Mailing Address - Phone:816-520-7765
Mailing Address - Fax:
Practice Address - Street 1:1700 SW 7TH STREET
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1690
Practice Address - Country:US
Practice Address - Phone:785-295-8000
Practice Address - Fax:785-295-5584
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012009734207P00000X
KS05-35655207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA2006027Medicare PIN