Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael B Whitehead, PA

Individual provider Medical Physician Assistant · NPI 1225053218

Michael B Whitehead, PA is a Medical Physician Assistant in Potsdam, New York. Licensed in North Carolina and New York. Registered with an NPI since 2006.

Licensed in
NC, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

50 Leroy St
Potsdam, NY 13676-1786
Phone: (315) 265-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 005139-1 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 102358 (NC)

Record details

NPI number1225053218
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESJune 6, 2012
Mailing address50 Leroy St, Potsdam, NY 13676-1786

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