Organization Active NPI

Thomas R Whalen MD LLC

  • Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1194972125
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
101052 Issued in MO
Legal business name
THOMAS R WHALEN MD LLC
Practice address
621 S New Ballas Rd
Tower a Suite 537
Saint Louis, MO 63141-8232
Phone
(314) 336-9141
Fax
(314) 336-9148
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Amy Elliott
Title
Account Manager
Phone
(314) 878-0163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 101052 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Tower a Suite 537
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd
Tower a Suite 537
Saint Louis, MO 63141-8232
Phone (314) 336-9141

National Provider Directory

National Provider Directory

Locations

621 S New Ballas Rd
Ste 537
Saint Louis, MO 63141
Phone (314) 251-6990

621 S New Ballas Rd
Ste 75
Saint Louis, MO 63141
Phone (314) 251-4141

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1194972125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "TOWER A SUITE 537",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-336-9141",
            "fax_number": "314-336-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "TOWER A SUITE 537",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-336-9141",
            "fax_number": "314-336-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R WHALEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "314-878-0163"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "101052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.