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Active NPI 1164405114 Individual Practitioner Male Practitioner

Kerry Whitaker , PA

Physician Assistant • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Kerry Whitaker, PA is a registered healthcare professional specializing in Physician Assistant in Orlando, FL. Practice services are available at 20 W. KALEY STREET under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20 W. Kaley Street

Orlando, FL 328062931

Telephone 4074232581
Fax 4078496470

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.6 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
552 Specialists

Practicing in Orlando, FL (10376 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
16 15 $260.00 $62.16

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA3516

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AL PA 484

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License FL PAX00002031

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
023753200 (FL)

Secondary Practice Locations

200 San Sebastian Vw

Saint Augustine, FL 320848695

Phone: 9042093250

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Dr. Edem Chen , MD

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 25, 2018

Registered at 20 W. KALEY STREET, ORLANDO, FL 328062931 (Tel: 4074232581)

📍
Updated Business Mailing Address April 25, 2018

Registered at 20 W. KALEY STREET, ORLANDO, FL 328062931 (Tel: 4074232581)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2018

Physician Assistant (License #PA3516 in FL)

NPI Profile Active March 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2017

Registered at 200 SAN SEBASTIAN VW, SAINT AUGUSTINE, FL 320848695 (Tel: 9042093250)

📍
Updated Business Mailing Address March 15, 2017

Registered at 200 SAN SEBASTIAN VW, SAINT AUGUSTINE, FL 320848695 (Tel: 9042093250)

👤
Provider Name / Credentials Updated March 15, 2017

Recorded as KERRY WHITAKER, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2017

Physician Assistant (License #PA 484 in AL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 619 19TH STREET SOUTH, BIRMINGHAM, AL 35233 (Tel: 2059346600)

📍
Updated Business Mailing Address July 08, 2007

Registered at P O BOX 55310, BIRMINGHAM, AL 352555310

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KERRY WHITAKER, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA 484 in AL)

🟢
Initial NPI Registration & Enumeration November 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164405114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2005
Last Update: April 25, 2018
Sole Proprietor: No

Mailing Address

20 W. Kaley Street

Orlando, FL 328062931

Phone: 4074232581

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.