Provider Demographics
NPI:1134764145
Name:WHITMAN, PATRICK H (PA-C)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:H
Last Name:WHITMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26215 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-1829
Mailing Address - Country:US
Mailing Address - Phone:301-253-1100
Mailing Address - Fax:301-825-5163
Practice Address - Street 1:26215 RIDGE RD
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-1829
Practice Address - Country:US
Practice Address - Phone:301-253-1100
Practice Address - Fax:301-825-5163
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1166115363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant