Organization Active NPI

Carl G Whetsell,MD,PA

  • Primary Care Clinic/Center
  • North Miami Beach, FL
National Provider Identifier
1245633619
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME116586 Issued in FL
Legal business name
CARL G WHETSELL,MD,PA
Practice address
16201 NE 13TH Ave
North Miami Beach, FL 33162-4607
Phone
(305) 442-1740
Fax
(305) 442-2207
NPI assigned
Sep 30, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Carl G Whetsell, MD
Title
Medical Director
Phone
(305) 442-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME116586 FL Primary

Addresses

Primary practice location

16201 NE 13TH Ave
North Miami Beach, FL 33162-4607

Mailing address

4131 SW 6TH St
Coral Gables, FL 33134-2057
Phone (305) 442-1740

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1245633619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SW 6TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342057",
            "telephone_number": "305-442-1740",
            "fax_number": "305-442-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 NE 13TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624607",
            "telephone_number": "305-442-1740",
            "fax_number": "305-442-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL G WHETSELL,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "WHETSELL",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-442-1740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME116586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.