Active NPI
Lynn Walton Whelchel Jr., M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colebrook, CT
National Provider Identifier
1124396767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 016089
- Practice address
- 273 Smith Hill Rd
Colebrook, CT 06021-7093 - Phone
- (860) 379-7120
- NPI assigned
- Dec 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 016089 | CT | Primary |
Addresses
Primary practice location
273 Smith Hill Rd
Colebrook, CT 06021-7093
Mailing address
273 Smith Hill Rd
Colebrook, CT 06021-7093
Phone (860) 379-7120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016089 | CT | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323561600000",
"number": "1124396767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 SMITH HILL RD",
"city": "COLEBROOK",
"state": "CT",
"postal_code": "060217093",
"telephone_number": "860-379-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 SMITH HILL RD",
"city": "COLEBROOK",
"state": "CT",
"postal_code": "060217093",
"telephone_number": "860-379-7120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELCHEL",
"first_name": "LYNN",
"middle_name": "WALTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-11",
"last_updated": "2011-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CT",
"license": "016089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colebrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.