Individual provider Active NPI

Timothy J. Whaley, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1255309217
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2529132 Issued in FL
Practice address
92 W Miller St
Orlando, FL 32806-2032
Phone
(321) 841-4607
Fax
(321) 843-2152
NPI assigned
Mar 8, 2006
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN2529132 FL
Certified Registered Nurse Anesthetist 367500000X ARNP2529132 FL Primary

Addresses

Primary practice location

92 W Miller St
Orlando, FL 32806-2032

Mailing address

92 W Miller St
Orlando, FL 32806-2032
Phone (321) 841-4607

Other practice location 1

303 se 17th street, ste 309
pmb#198
ocala, FL 34471
Phone (305) 788-7264

Other identifiers 1

IdentifierTypeStateIssuer
302079700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT, KS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040206000496 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517850035 Reassigns benefits to 7 organizations
I20221215002472 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517850035 Reassigns benefits to 1 organization
I20230118001776 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517850035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 703-2886

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN2529132FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Livingston Healthcare CurrentSince Sep 7, 2022 Accepting new patients
Livingston Healthcare Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2023 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince May 14, 2023 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 10, 2023 Accepting new patients
East Coast Anesthesia LLC CurrentSince May 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Anesco North Broward LLC CurrentSince Jul 20, 2004 Accepting new patients
Pelican Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2013 Accepting new patients
Livingston Healthcare Urgent Care CurrentSince Sep 7, 2022 Accepting new patients
US Anesthesia Partners of Kansas PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince May 14, 2023 Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Jan 3, 2020 Accepting new patients
Anesthesia Associates P.a. Past Accepting new patients
Anesthesiology Consultants of the Palm Beaches PA Past Accepting new patients

Locations (25 of 27)

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

5101 SW 8th St
Ste 201
Coral Gables, FL 33134
Phone (305) 262-6060

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

6241 Arc Way
Fort Myers, FL 33966
Phone (239) 278-9955

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

7408 Lake Worth Rd
Ste 900
Lake Worth, FL 33467
Phone (561) 433-5700

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1255309217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062032",
            "telephone_number": "321-841-4607",
            "fax_number": "321-843-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062032",
            "telephone_number": "321-841-4607",
            "fax_number": "321-843-2152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 se 17th street, ste 309",
            "address_2": "pmb#198",
            "address_purpose": "LOCATION",
            "city": "ocala",
            "state": "FL",
            "postal_code": "34471",
            "country_code": "US",
            "telephone_number": "305-788-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN2529132",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2529132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302079700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.