Provider Demographics
NPI:1801988308
Name:WHITING, NEIL K (MD)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:K
Last Name:WHITING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6555 COYLE AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0302
Practice Address - Country:US
Practice Address - Phone:916-536-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25635207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA018325OtherHEALTH NET
CA3380461OtherCIGNA
CA693661OtherUNITED HEALTHCARE
CA00G256350Medicaid
CA000810343589OtherPHCS
CA1089843OtherGREAT WEST
CA4509845OtherAETNA
CA90026474OtherPACIFICARE
CAG25635OtherBLUE CROSS
CA1062589OtherFIRST HEALTH
CAMCMG172900OtherWESTERN HEALTH ADVANTAGE
CA20128OtherINTERPLAN
CA00G256350Medicaid
CA3380461OtherCIGNA