Active NPI
Whelchel Primary Care Medicine PA
- Internal Medicine Physician
- Marshall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L0690
- Legal business name
- WHELCHEL PRIMARY CARE MEDICINE PA
- Practice address
- 401 E Pinecrest Dr
Marshall, TX 75670-7207 - Phone
- (903) 935-7101
- Fax
- (903) 935-7043
- NPI assigned
- Aug 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dawn R Whelchel, MD
- Title
- President/Ceo
- Phone
- (903) 935-7101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L0690 | TX | Primary |
Addresses
Primary practice location
401 E Pinecrest Dr
Marshall, TX 75670-7207
Mailing address
401 E Pinecrest Dr
Marshall, TX 75670-7207
Phone (903) 935-7101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1065602 | Whelchel Primary Care Medicine PA | Provider-performed microscopy | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
304 University Ave
Ste 200
Marshall, TX 75670
Phone (903) 935-7101
401 E Pinecrest Dr
Marshall, TX 75670
Phone (903) 935-7101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Marshall, TX
- NPI 1194726299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187308800000",
"number": "1457543936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E PINECREST DR",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756707207",
"telephone_number": "903-935-7101",
"fax_number": "903-935-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E PINECREST DR",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756707207",
"telephone_number": "903-935-7101",
"fax_number": "903-935-7043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHELCHEL PRIMARY CARE MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A",
"authorized_official_last_name": "WHELCHEL",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "903-935-7101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "L0690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.