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John R. Whittaker, M.D., Pllc

Surgery Physician in Southfield, MI · enumerated 2013 · authorized official John Whittaker, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114363108

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Registry record

Entity type Organization (Type 2)
Legal business name John R. Whittaker, M.D., Pllc
Practice address 20240 W 12 Mile Rd, Suite 3, Southfield, MI, 48076
Fax (248) 423-0905
Enumeration date May 16, 2013
Last updated in NPPES May 16, 2013

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 4301039465 (MI) Primary

Authorized official

Name John Whittaker
Title President

Other identifiers

Identifier Type State Issuer
2120509 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for John R. Whittaker, M.D., Pllc?
The NPI for John R. Whittaker, M.D., Pllc is 1114363108, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for John R. Whittaker, M.D., Pllc?
NPPES lists John Whittaker (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-16.