IndividualActive
Jerry Whatley, MD
NPI 1780634816 · Adolescent Medicine (Family Medicine) Physician · Ardmore, OK
Provider details
- NPI number
- 1780634816
- Entity type
- Individual
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19096 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
509 Grand Ave
Ardmore, OK 73401-4338
Phone: (580) 223-3300
Fax: (580) 223-3320
Approximate (ZIP-level) locationGet directions
Mailing address
936 Deese Rd
Ardmore, OK 73401-9315
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2011-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.