Michael J Whalen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

556 Issued in NE

Practice address

2725 S 144TH St
Suite 212
Omaha, NE 68144-5243

Phone

(402) 637-0800

Fax

(402) 637-0852

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1558377580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S 144TH ST",
            "address_2": "SUITE 212",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445243",
            "telephone_number": "402-637-0800",
            "fax_number": "402-637-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S 144TH ST",
            "address_2": "SUITE 212",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445243",
            "telephone_number": "402-637-0800",
            "fax_number": "402-637-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "556",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "38528",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00418185",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carleigh Weyers
• Nicole Lee Weyers
• Steven Weyhrich, M.D.
• Julie Whalen, PT
• Linda Whalen
• Robin Whalen, MOTR/L
• Sage Bella Whalen
• Summer L Whaley-Hull, PA
• Debra Karla Whaley, MD
• Stephanie Whaley

• Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.