Provider Demographics
NPI:1609086685
Name:SHARP, WHITNEY LEE (DO)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LEE
Last Name:SHARP
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7740 WASHINGTON VILLAGE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3994
Mailing Address - Country:US
Mailing Address - Phone:937-433-4325
Mailing Address - Fax:937-439-7445
Practice Address - Street 1:7740 WASHINGTON VILLAGE DR STE 100
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3994
Practice Address - Country:US
Practice Address - Phone:937-433-4325
Practice Address - Fax:937-439-7445
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34009638207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2982223Medicaid
OH2982223Medicaid
OHH165430Medicare PIN
OH4266301Medicare PIN