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

Mr. Richard Warren Whittaker III

Individual provider Physician Assistant · NPI 1538055074

Mr. Richard Warren Whittaker III is a Physician Assistant in St Petersburg, Florida. Qualified in 2025, 1 year ago. Practices with Tallahassee Orthopedic Clinic III Pl, a 550-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025

Practice location Address checks out

10051 5th St N
St Petersburg, FL 33702-2289
Phone: (727) 527-5272
Fax: (727) 522-7412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121247 (FL)

Record details

NPI number1538055074
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tallahassee Orthopedic Clinic Iii Pl — 550 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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