Active NPI
Elizabeth a Whalen MD LLC
- Radiation Oncology Physician
- Torrington, CT
National Provider Identifier
1467517243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 032771
- Legal business name
- ELIZABETH A WHALEN MD LLC
- Practice address
- 200 Kennedy Dr
Torrington, CT 06790-3096 - Phone
- (860) 489-6718
- Fax
- (860) 489-8270
- NPI assigned
- Dec 22, 2006
- 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. Elizabeth A Whalen, M.D.
- Title
- Member, Elizabeth a. Whalen, MD, LL
- Phone
- (860) 489-6718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 032771 | CT | Primary |
Addresses
Primary practice location
200 Kennedy Dr
Torrington, CT 06790-3096
Mailing address
PO Box 150473
Dept. 445
Hartford, CT 06115-0473
Phone (860) 489-6718
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00132771800 | Other | BLUECARE FAMILY PLAN | |
| P3016477 | Other | OXFORD HEALTH PLANS | |
| 759274 | Other | CONNECTICARE | |
| 010032771CT03 | Other | CT | ANTHEM |
| 272652 | Other | PREFERRED ONE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1467517243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150473",
"address_2": "DEPT. 445",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061150473",
"telephone_number": "860-489-6718",
"fax_number": "860-489-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 KENNEDY DR",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067903096",
"telephone_number": "860-489-6718",
"fax_number": "860-489-8270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH A WHALEN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "WHALEN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEMBER, ELIZABETH A. WHALEN, MD, LL",
"authorized_official_telephone_number": "860-489-6718",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "CT",
"license": "032771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE FAMILY PLAN",
"identifier": "00132771800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P3016477",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "759274",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010032771CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "272652",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.