Provider Demographics
NPI:1912962986
Name:WHITMAN, SCOTT ERIC (DPM)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ERIC
Last Name:WHITMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HIGHWAY 49 S
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-7522
Mailing Address - Country:US
Mailing Address - Phone:704-455-2999
Mailing Address - Fax:704-455-1624
Practice Address - Street 1:3800 HIGHWAY 49 S
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-7522
Practice Address - Country:US
Practice Address - Phone:704-455-2999
Practice Address - Fax:704-455-1624
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005815213E00000X
NC523213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU88497Medicare UPIN
NYPWW731Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER