Kelly Rader Whaley, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

3068 Issued in OH

Practice address

144 Larimar Dr
Willowick, OH 44095-5212

Phone

(216) 229-0292

Fax

(440) 975-1963

NPI assigned

Dec 4, 2006

Sex

Female

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

Other names 1

• Kelly Rader Swiger Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly R Whaley

  • Primary Podiatric Medicine Podiatrist
  • Willowick, OH
  • NPI 1609146240
  NPD Authorized official
• City of Highland Heights

  • Ambulance
  • Highland Heights, OH
  • NPI 1144241217
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1245398353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440920182",
            "telephone_number": "216-229-0292",
            "fax_number": "440-975-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LARIMAR DR",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440955212",
            "telephone_number": "216-229-0292",
            "fax_number": "440-975-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "KELLY",
        "middle_name": "RADER",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "3068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138467",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SWIGER",
            "middle_name": "RADER",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Walker, PHARMD
• Romale Wallace Sr.
• Erica Michelle Wazney, D.M.D
• John Leonard Wazney, D.M.D
• Dustin Wellbaum
• Wheels on Demand
• Latanya Sharea Williams, NONE
• Lisa Wittine
• Latoya Michelle Wolford
• Sheena Gaynelle Workman

• Podiatrist in Willowick, OH
• Providers in Willowick, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.