Jeffrey Wayne Whightsel, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-085757 Issued in IL

Practice address

912 N Henrietta St
Effingham, IL 62401-1788

Phone

(217) 342-3337

Fax

(217) 347-3328

NPI assigned

Sep 21, 2005

Last updated

Mar 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1023004439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010784",
            "telephone_number": "217-342-3337",
            "fax_number": "217-347-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N HENRIETTA ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011788",
            "telephone_number": "217-342-3337",
            "fax_number": "217-347-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIGHTSEL",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-085757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085757",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Wendling, MS, LCPC, CADC
• Megan Elizabeth Wente, DPT
• Jere Sue Wernsing, RN
• Danielle M Westendorf
• Alison Renee Wharton
• Linda Sue Wilkerson, LPN
• Kiley Alese Will, MHP
• Josephine Willenborg, DPT
• Kelly Sue Willenborg, MA IN GERONTOLOGY
• Stephen Willenborg, DMD

• Obstetrics & Gynecology Physician in Effingham, IL
• Providers in Effingham, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.