DR. JOHN C WHITAKER MD
NPI 1467461764
Pediatrics in Fort Smith, AR

Active since August 05, 2006CLIA 04D1062381 · Waiver
2713 S 74TH ST, SUITE 408, FORT SMITH, AR 72903(479) 484-5646(479) 242-2323 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John C Whitaker Md NPPES

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

DR. JOHN C WHITAKER MD (NPI 1467461764) is an individual pediatrics provider in Fort Smith, Arkansas, licensed in Arkansas (C-7165) and active in the NPI registry since August 2006. He holds a CLIA Waiver certificate valid through December 12, 2026.

NPPES Registry Identity

NPI1467461764
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JOHN C WHITAKERCredential: MD
Location Address2713 S 74TH ST, SUITE 408Fort Smith, AR 72903-5170
Mailing Address2713 S 74th St, Suite 408Fort Smith, AR 72903-5170 · (479) 484-5646
Fax(479) 242-2323
Sole ProprietorYes
Enumeration DateAugust 5, 2006
Last NPPES UpdateApril 15, 2011
NPI 1467461764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AR · C-7165
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.

2713 S 74TH ST, Fort Smith, AR 72903

Other Identifiers 3

Medicare UPIND87428
Medicare ID-Type Unspecified52893AR
Medicaid115671001AR

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 04D1062381

John Whitaker MD · Fort Smith, AR
Active · expires Dec 12, 2026
CLIA Number04D1062381
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorJohn C. Whitaker
Laboratory Phone(479) 484-5646
Laboratory LocationJohn Whitaker MD2713 South 74th Suite 408, Fort Smith, AR 72903
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Cardiovascular Disease)
2713 S 74TH ST, STE 401
FORT SMITH, AR 72903
Specialist
2713 S 74TH ST, 104
FORT SMITH, AR 72903
Surgery (Plastic and Reconstructive Surgery)
2713 S 74TH ST, SUITE 302
FORT SMITH, AR 72903
Obstetrics & Gynecology (Gynecology)
2713 S 74TH ST, SUITE 301
FORT SMITH, AR 72903
Dentist (Oral and Maxillofacial Surgery)
2713 S 74TH ST, SUITE 201
FORT SMITH, AR 72903
Surgery (Plastic and Reconstructive Surgery)
2713 S 74TH ST, SUITE 302
FORT SMITH, AR 72903
Dentist (Oral and Maxillofacial Surgery)
2713 S 74TH ST, SUITE 201
FORT SMITH, AR 72903
Psychiatry & Neurology (Psychiatry)
2713 S 74TH ST, SUITE 203
FORT SMITH, AR 72903

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 Whitaker's NPI number?

The NPI number for John Whitaker is 1467461764. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is John Whitaker located?

John Whitaker practices at 2713 S 74th St Suite 408, Fort Smith, AR 72903. The listed phone number is (479) 484-5646.

What is John Whitaker's specialty?

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

Does John Whitaker hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1062381) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does John Whitaker accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list John Whitaker 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 John Whitaker was last updated on April 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.