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

Individual provider Internal Medicine Physician · NPI 1164413167

Theodore M. Whitaker, DO is an Internal Medicine Physician in Overland Park, Kansas. Works from 3 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

12140 Nall Ave Ste 100
Overland Park, KS 66209-2504
Phone: (816) 943-0406
Fax: (913) 451-1754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6420 Prospect Avenue, Kansas City, MO 64132-1186 — (816) 363-4100
  • 6420 Prospect Avenue, Kansas City, MO 64132-1186 — (816) 363-4100

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence R1D87 (MO)

Record details

NPI number1164413167
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESMarch 17, 2018
Mailing address12140 Nall Ave Ste 100, Overland Park, KS 66209-2504

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