Jerry David Whatley, MD
Jerry David Whatley, MD is a Pediatric Medicine in Ardmore, Oklahoma. Qualified in 1992, 34 years ago. Practices with Northeastern Oklahoma Community Health Centers, Inc, a 36-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 34
- Licensed in
- OK
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
509 Grand AveArdmore, OK 73401-4338
Phone: (580) 223-3300
Fax: (580) 223-3320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0000X · Licence 19096 (OK) |
|---|
Record details
| NPI number | 1780634816 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2006 |
| Last updated in NPPES | January 7, 2011 |
| Mailing address | 936 Deese Rd, Ardmore, OK 73401-9315 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1992 (34 years in practice) |
| Group practice | Northeastern Oklahoma Community Health Centers, Inc — 36 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |