Active NPI
Paul E. Whalen Jr., M.D.
- Pediatrics Physician
- Rockingham, VA
National Provider Identifier
1346214822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101255229
- Practice address
- 2010 Health Campus Dr
Rockingham, VA 22801-8679 - Phone
- (540) 689-1110
- Fax
- (540) 689-1119
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01057493A | IN | |
| Pediatrics Physician | 208000000X | 0101255229 | VA | Primary |
Addresses
Primary practice location
2010 Health Campus Dr
Rockingham, VA 22801-8679
Mailing address
PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 689-1110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200432350 | Medicaid | IN | |
| 1346214822 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057493A | IN | MD | Pediatrics Physician |
Interoperability endpoints
- pwhalen513290@direct.sentara.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1346214822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228031430",
"telephone_number": "540-689-1110",
"fax_number": "540-689-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 HEALTH CAMPUS DR",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "228018679",
"telephone_number": "540-689-1110",
"fax_number": "540-689-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "PAUL",
"middle_name": "E.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01057493A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101255229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200432350",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346214822",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockingham, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.