DR. KENNETH A WHITTAKER MD
NPI 1073606687
Pediatrics in Newberg, OR

Active since October 02, 2006CLIA 38D0978396 · Waiver
506 N VILLA RD, NEWBERG, OR 97132(503) 554-0036(503) 538-9257 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2021, Jun 7, 2021 (2 updates tracked since 2021).

About Dr. Kenneth A Whittaker Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH A WHITTAKER MD (NPI 1073606687) is an individual pediatrics provider in Newberg, Oregon, licensed in Oregon (MD19011) and active in the NPI registry since October 2006. He holds a CLIA Waiver certificate valid through September 21, 2026.

NPPES Registry Identity

NPI1073606687
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KENNETH A WHITTAKERCredential: MD
Location Address506 N VILLA RDNewberg, OR 97132-1833
Mailing Address506 N Villa RdNewberg, OR 97132-1833 · (503) 554-0036 · Fax (503) 538-9257
Fax(503) 538-9257
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
NPI 1073606687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OR · MD19011
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

506 N VILLA RD, Newberg, OR 97132

Other Identifiers 1

Medicaid081448OR

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0978396

Kenneth Whittaker MD Children's Medical Clinic Of Newberg · Newberg, OR
Active · expires Sep 21, 2026
CLIA Number38D0978396
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorKenneth A. Whittaker MD
Laboratory Phone(503) 554-0036
Laboratory LocationKenneth Whittaker MD Children's Medical Clinic Of Newberg506 Villa Road, Newberg, OR 97132
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
506 N VILLA RD
NEWBERG, OR 97132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Whittaker's NPI number?

The NPI number for Kenneth Whittaker is 1073606687. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Kenneth Whittaker located?

Kenneth Whittaker practices at 506 N Villa Rd, Newberg, OR 97132. The listed phone number is (503) 554-0036.

What is Kenneth Whittaker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Kenneth Whittaker hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0978396) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kenneth Whittaker accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kenneth Whittaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Whittaker was last updated on June 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.