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JOHN R. WHITTAKER, M.D., PLLC
NPI 1114363108
Surgery in Southfield, MI

Active since May 16, 2013
20240 W 12 MILE RD, SUITE 3, SOUTHFIELD, MI 48076(248) 423-0903(248) 423-0905 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John R. Whittaker, M.d., Pllc NPPES

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

JOHN R. WHITTAKER, M.D., PLLC (NPI 1114363108) is a healthcare organization registered as a surgery in Southfield, Michigan and active in the NPI registry since May 2013. The organization lists John Raymond Whittaker, President, as its authorized official.

NPPES Registry Identity

NPI1114363108
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJOHN R. WHITTAKER, M.D., PLLC
Location Address20240 W 12 MILE RD, SUITE 3Southfield, MI 48076-2426
Mailing Address6431 Bauervic BlvdWest Bloomfield, MI 48322-2237 · (248) 851-0635 · Fax (248) 851-6463
Phone(248) 423-0903
Fax(248) 423-0905
Organization SubpartNo
Authorized OfficialJohn Raymond WhittakerPresident · (248) 423-0903
Enumeration DateMay 16, 2013
✔ NPI 1114363108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301039465
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
20240 W 12 MILE RD, Southfield, MI 48076
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Other Identifiers 3

Medicaid2120509MI
Medicare UPINA73848MI
Medicare PIN0630614MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

GREATER METRO REHAB LLC
Physical Therapist (Orthopedic)
20240 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 353-6880
G&M MANAGEMENT
Clinic/Center (Ambulatory Surgical)
20240 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 353-6880
M-AVIS HEALTHCARE MANAGEMENT SERVICE GROUP LLC
Clinic/Center (Ambulatory Surgical)
20240 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 353-6880
JAMES E. BEALE, JR., M.D., P.C.
Orthopaedic Surgery
20240 W 12 MILE RD, SUITE 3
SOUTHFIELD, MI 48076
Oakland County (248) 945-0019
HALO PT & REHAB
Physical Therapist
20240 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 331-1400
METROPOLITAN HOME CARE SPECIALIST LLC
Home Health
20240 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 631-9757

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 John R. Whittaker, M.D., PLLC's NPI number?

The NPI number for John R. Whittaker, M.D., PLLC is 1114363108. It was assigned to this organization in the NPPES registry on May 16, 2013.

Where is John R. Whittaker, M.D., PLLC located?

John R. Whittaker, M.D., PLLC is located at 20240 W 12 Mile Rd Suite 3, Southfield, MI 48076. The listed phone number is (248) 423-0903.

What is John R. Whittaker, M.D., PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for John R. Whittaker, M.D., PLLC was last updated on May 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.