Provider Demographics
NPI:1386148120
Name:WHIPPLE, STEPHEN GARRETT II (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:GARRETT
Last Name:WHIPPLE
Suffix:II
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 1:4139 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5901
Mailing Address - Country:US
Mailing Address - Phone:318-557-7909
Mailing Address - Fax:
Practice Address - Street 1:4139 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5901
Practice Address - Country:US
Practice Address - Phone:318-557-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
LA349687207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA349687OtherLICENSE