Provider Demographics
NPI:1336571686
Name:WHITETHORN CONSULTANTS LLC
Entity Type:Organization
Organization Name:WHITETHORN CONSULTANTS LLC
Other - Org Name:AMBRIDGE PODIATRY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:III
Authorized Official - Credentials:DPM
Authorized Official - Phone:804-514-1965
Mailing Address - Street 1:447 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-2521
Mailing Address - Country:US
Mailing Address - Phone:724-266-1867
Mailing Address - Fax:
Practice Address - Street 1:447 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2521
Practice Address - Country:US
Practice Address - Phone:724-266-1867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006378213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty