Active NPI
Thomas M Wherry, M..D.
- Anesthesiology Physician
- Charlotte, NC
National Provider Identifier
1417996703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2012-00775
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-2000
- NPI assigned
- Jun 5, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D43978 | MD | |
| Anesthesiology Physician | 207L00000X | 2012-00775 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
6135 Park South Dr Ste 510
Charlotte, NC 28210-0100
Phone (704) 749-3116
Other practice location 1
1099 Medical Center Cir
Mayfield, KY 42066-1179
Phone (270) 251-4100
Other practice location 2
1811 E 5th St
Metropolis, IL 62960-3107
Phone (618) 309-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218281500 | Medicaid | MD | |
| 601285800 | Other | FECA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IL, NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Cincinnati College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
118 Professional Park Dr
Rock Hill, SC 29732-1178
Phone (803) 329-3124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D43978 | MD | MD | Anesthesiology Physician |
| 2012-00775 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robinwood Surgery Center Anesthesia | Anesthesiology | Current | Accepting new patients |
| Meridian Anesthesia Practice, L.L.C | Past | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Anesthesiology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
11110 Medical Campus Rd
Ste 200
Hagerstown, MD 21742
Phone (301) 714-4300
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Metropolis, IL
- NPI 1548636418
-
- Anesthesiology Physician
- Mayfield, KY
- NPI 1255735346
-
- Specialist
- Olney, MD
- NPI 1942248653
-
- Anesthesiology Physician
- Hagerstown, MD
- NPI 1063597672
-
- Anesthesiology Physician
- Rock Hill, SC
- NPI 1649879644
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1417996703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 PARK SOUTH DR STE 510",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100100",
"telephone_number": "704-749-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-2000"
}
],
"practiceLocations": [
{
"address_1": "1099 Medical Center Cir",
"address_purpose": "LOCATION",
"city": "Mayfield",
"state": "KY",
"postal_code": "420661179",
"country_code": "US",
"telephone_number": "270-251-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1811 E 5th St",
"address_purpose": "LOCATION",
"city": "Metropolis",
"state": "IL",
"postal_code": "629603107",
"country_code": "US",
"telephone_number": "618-309-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHERRY",
"first_name": "THOMAS",
"middle_name": "M",
"credential": "M..D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D43978",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2012-00775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218281500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FECA",
"identifier": "601285800",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.
- 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.