Dr. Courtney Wade Whitney
Internal Medicine (Sleep Medicine)

Address: 2700 Campus Drive, Suite 100, Plymouth, MN 55441
Phone: 7635190634

Dr. Courtney Wade Whitney (NPI# 1861461329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1861461329
Entity Type Individual
Full Name Dr. Courtney Wade Whitney
Credential D.O.
Gender Male
Practice Address 2700 Campus Drive
Suite 100
Plymouth
MN 55441
Practice Telephone 7635190634
Practice Fax Number 7635190636
Mailing Address 2700 Campus Drive
Suite 100
Plymouth
MN 55441
Mailing Telephone 7633190634
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-03-16
Last Update Date 2012-01-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RS0012X Internal Medicine · Sleep Medicine Allopathic & Osteopathic Physicians 39456 MN
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 39456 MN

Other Provider Identifier

State Identifier Issuer Type Code
MN 991942200 MEDICAID
MN HP27198 OTHER HEALTH PARTNERS
MN 376913000 MEDICAID

Other Providers COURTNEY WHITNEY

NPI Name Taxonomy Address Enumeration
1184162794 Courtney Whitney Case Manager/Care Coordinator 3180 Center St Ne, Salem, OR 97301 2017-02-02

Physician Overview

NPI 1861461329
PAC ID by PECOS 9739087826
Professional Enrollment ID I20031230000235
Full Name Courtney W Whitney
Gender M
Credential MD
Graduation Year 1983
Primary Specialty SLEEP MEDICINE
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment M
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520107 HOLY FAMILY MEMORIAL
521341 RICHLAND HOSPITAL
351318 CARRINGTON HEALTH CENTER
281353 VALLEY COUNTY HEALTH SYSTEM
521323 MEMORIAL MEDICAL CENTER

Office Location

Street Address 2700 CAMPUS DRIVE
SUITE 100
City PLYMOUTH
State MN
Zip Code 55441

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356887186 Katherine Marlow Bell Dentist 2805 Campus Dr Ste 245, Plymouth, MN 55441 2017-01-18
1083069538 Mercade Waldon Home Health Aide 3501 Xenium Lane, Plymouth, MN 55441 2016-05-03
1346645538 Phs Westhealth, Inc Skilled Nursing Facility 2775 Campus Drive North, Plymouth, MN 55441 2014-10-30
1427453125 Samuel David Fine Pharmacist 4070 Goldenrod Ln, Plymouth, MN 55441 2014-10-24
1548672538 Scott Aaron Schmidt Dentist 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 2014-05-23
1922363084 Christopher S. Stampe Radiology 2800 Campus Dr Ste 20, Plymouth, MN 55441 2012-07-05
1831498633 Comforide Transportation Services LLC Non-emergency Medical Transport (VAN) 9730 37th Pl N Suite 201, Plymouth, MN 55441 2011-03-18
1164758199 Stephen P. Boger, Dds, Pa Dentist 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 2009-10-27
1093908360 Endodontic Professionals Pa Plymouth Endodontics Dentist 3401 Hwy 169 N, Plymouth, MN 55441 2007-08-21
1487787016 Northstar Radiology Corporation Pa Specialist 36 Nathan Lane N, Plymouth, MN 55441 2007-03-13
Find all providers in zip 55441

Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043243827 Alfred P. Chiang Internal Medicine 2700 Campus Dr, Suite 100, Plymouth, MN 55441-2601 2006-07-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477889798 Louis Kazaglis Internal Medicine 10000 Zane Ave N Ste 202, Brooklyn Park, MN 55443-1400 2009-10-21
1710392162 Gabriel Anders Internal Medicine 200 1st St Sw, Rochester, MN 55905-0001 2014-06-24
1699116368 Ioanna Kouri Internal Medicine 200 1st St Sw, Rochester, MN 55905 2013-07-10
1912161084 Jamil Taji Internal Medicine 1015 Marsh St, Mankato, MN 56001-4752 2008-07-17
1780735993 Central Minnesota Sleep Specialists, Plc Internal Medicine 523 N 3rd St, Brainerd, MN 56401-3054 2007-01-15
1356439277 Respiratory Consultants Internal Medicine 3366 Oakdale Ave N, Suite 605, Robbinsdale, MN 55422-5700 2006-10-10
1861468639 Jagdeep S Bijwadia Internal Medicine 640 Jackson St, Mc 11502b, Saint Paul, MN 55101-2502 2006-02-23
1972578334 Abdullahi I Ahmed Internal Medicine 14101 Fairview Dr, Suite Number 300, Burnsville, MN 55337-4590 2006-02-21
1386618312 John G Park Internal Medicine 200 1st St Sw, Rochester, MN 55905-0001 2006-02-15

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City PLYMOUTH
Zip Code 55441

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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