OrganizationActive
John R. Whittaker, M.D., PLLC
NPI 1114363108 · Surgery Physician · Southfield, MI
John R. Whittaker, M.D., PLLC is a Surgery Physician organization in Southfield, MI (NPI 1114363108).
Provider details
- NPI number
- 1114363108
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Whittaker, President(248) 423-0903
- License
- 4301039465 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20240 W 12 Mile Rd
Suite 3
Southfield, MI 48076-2426
Phone: (248) 423-0903
Fax: (248) 423-0905
Street-level locationGet directions
Mailing address
6431 Bauervic Blvd
West Bloomfield, MI 48322-2237
Registry dates
- Enumerated
- 2013-05-16
- Last updated
- 2013-05-16
Frequently asked questions
- What is John R. Whittaker, M.D., PLLC's NPI number?
- John R. Whittaker, M.D., PLLC's National Provider Identifier (NPI) is 1114363108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John R. Whittaker, M.D., PLLC?
- John R. Whittaker, M.D., PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is John R. Whittaker, M.D., PLLC located?
- John R. Whittaker, M.D., PLLC's practice location on file with NPPES is 20240 W 12 Mile Rd, Southfield, MI 48076-2426.
- What is John R. Whittaker, M.D., PLLC's phone number?
- The practice phone number listed in the NPPES registry for John R. Whittaker, M.D., PLLC is (248) 423-0903.
- Who is the authorized official for John R. Whittaker, M.D., PLLC?
- The authorized official listed on John R. Whittaker, M.D., PLLC's NPPES record is John Whittaker, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John R. Whittaker, M.D., PLLC's NPI active?
- Yes — John R. Whittaker, M.D., PLLC's NPI (1114363108) is active in the NPPES registry as of the last update on 2013-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.