Active NPI
Michael N Whisenant, MD
- Cardiovascular Disease Physician
- Lewiston, ID
National Provider Identifier
1508813106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- M-9628
- Practice address
- 2315 8TH St Grade
Lewiston, ID 83501-7301 - Phone
- (208) 746-1383
- Fax
- (208) 298-0727
- NPI assigned
- May 28, 2006
- Last updated
- Oct 5, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | M-9628 | ID | Primary |
Addresses
Primary practice location
2315 8TH St Grade
Lewiston, ID 83501-7301
Mailing address
122 W 7TH Ave
450
Spokane, WA 99204-2349
Phone (509) 455-8820
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00316149 | Other | WA | RRB |
| 807466400 | Medicaid | ID | |
| 8454886 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10455 | SC | MD | Professional Counselor |
| M-9628 | ID | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Medical Center | Past | Accepting new patients | |
| Wa Spok DH Crna LLC | Cardiovascular Disease | Past | Accepting new patients |
| Providence Health & Services-Wa | Past | Accepting new patients | |
| McDowell Internal Medicine, PA | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Marion, NC
- NPI 1629028840
Cardiovascular Disease
-
- General Acute Care Hospital
- Seneca, SC
- NPI 1255367637
-
dba NW Heart & Lung Surgical Assoc
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Spokane, WA
- NPI 1538311287
-
- Certified Registered Nurse Anesthetist
- Spokane, WA
- NPI 1366692766
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1508813106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W 7TH AVE",
"address_2": "450",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042349",
"telephone_number": "509-455-8820",
"fax_number": "509-838-4978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 8TH ST GRADE",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835017301",
"telephone_number": "208-746-1383",
"fax_number": "208-298-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHISENANT",
"first_name": "MICHAEL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ID",
"license": "M-9628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRB",
"identifier": "P00316149",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807466400",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8454886",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.