Edward Gordon Whealton, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101056451 Issued in VA

Practice address

Tricare Prime Clinic Chesapeake
1011 Eden Way North Suite H
Chesapeake, VA 23320

Phone

(757) 953-6366

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: edward.whealton.1@17183.direct.athenahealth.com
• Direct secure messaging: edward.whealton.1@29402.direct.athenahealth.com

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.

• Tricare Medical Clinic Chesapeake

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Portsmouth, VA
  • NPI 1861538258
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1568448397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 EDEN WAY N",
            "address_2": "SUITE H",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202768",
            "telephone_number": "757-953-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRICARE PRIME CLINIC CHESAPEAKE",
            "address_2": "1011 EDEN WAY NORTH SUITE H",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-953-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEALTON",
        "first_name": "EDWARD",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101056451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Cooke Westbrook, BS, CPM, LM
• Kenneth Robert Westcott, O.D.
• Western Branch Center for Women PC
• Kathleen Westphal
• Ashley Whaley
• Denise Wheeler
• Jennifer Wheeler, BCBA
• Lillie M. Wheeler, SPEECH PATHOLOGIST
• Nancy Wheeler
• Jessica Whitaker

• Family Medicine Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.