Organization Active NPI

Whelchel Primary Care Medicine PA

  • Internal Medicine Physician
  • Marshall, TX
National Provider Identifier
1457543936
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L0690 Issued in TX
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

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Dr. Dawn R Whelchel, MDNPI 1194726299
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20050919001008 TX Part B Supplier - Clinic/Group Practice 2769416817 Receives reassigned benefits from 1 practitioner
Practice locations: Marshall, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1065602Whelchel Primary Care Medicine PA401 E Pinecrest Dr, Marshall, TX 75670Provider-performed microscopyMar 5, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.