Active NPI
Thomas Brian Whalen, M.D.
- General Practice Physician
- Gainesville, FL
National Provider Identifier
1366460990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME90007
- Practice address
- 3703 SW 13TH St
Gainesville, FL 32608-3507 - Phone
- (352) 672-8023
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME90007 | FL | Primary |
| Anesthesiology Physician | 207L00000X | ME90007 | FL |
Addresses
Primary practice location
3703 SW 13TH St
Gainesville, FL 32608-3507
Mailing address
5120 NW 67TH St
Gainesville, FL 32653-3949
Phone (352) 672-8023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269502200 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearwater Pain Management Associates | Anesthesiology | Past | Accepting new patients |
| Capitol Anesthesiology, PC | Anesthesiology | Past | Accepting new patients |
| Gate City Anesthesia, Inc | Anesthesiology | Past | Accepting new patients |
| Anesthesia Associates of Pinellas County | Past | Accepting new patients | |
| Advanced Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
| Anesthesiology Consultants of the Palm Beaches PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Dunedin, FL
- NPI 1124297650
-
- Specialist
- Clearwater, FL
- NPI 1396772620
-
- Anesthesiology Physician
- Wellington, FL
- NPI 1720013287
-
- Pain Clinic/Center
- Clearwater, FL
- NPI 1477585883
Anesthesiology
-
- Anesthesiology Physician
- Morrow, GA
- NPI 1245287192
-
- Pain Medicine (Anesthesiology) Physician
- Greensboro, NC
- NPI 1225135361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1366460990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 NW 67TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326533949",
"telephone_number": "352-672-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 SW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326083507",
"telephone_number": "352-672-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "THOMAS",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME90007",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME90007",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269502200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.