Individual provider Active NPI

Heather Lynn Whaley, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Little Rock, AR
National Provider Identifier
1487098190
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
E-10362 Issued in AR
Practice address
108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone
(501) 712-2571
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X E-10362 AR Primary

Addresses

Primary practice location

108 N Shackleford Rd
Little Rock, AR 72211-2840

Mailing address

108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (501) 712-2571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803000475 AR Practitioner - Pain ManagementPractitioner - Anesthesiology 7911224183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Arkansas College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

413 E Michigan St
Stuttgart, AR 72160-3269
Phone 50122707004000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Centers of America PLLC CurrentSince Sep 1, 2017 Accepting new patients
Dr Whaley Pain Management Clinic Pain Medicine CurrentSince Aug 30, 2024 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

413 E Michigan St
Stuttgart, AR 72160

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJJFDD
  • Direct secure messaging: heather.whaley@3329.securemail.prognocis.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJJFDD/Endpoint/GJJFDD

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1487098190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-712-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-712-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "E-10362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.