Kelly R Whaley

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

36003068 Issued in OH

Legal business name

KELLY R WHALEY

Practice address

144 Larimar Dr
Willowick, OH 44095-5212

Phone

(216) 229-0292

Fax

(440) 975-1963

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Kelly Rader Whaley, DPMNPI 1245398353

Title

Owner

Phone

(216) 374-5001

Specialties & licenses 1

Addresses

Other names 1

• Dr Kelly R Whaley LLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Rader Whaley, DPM

  • Podiatrist
  • Willowick, OH
  • NPI 1245398353
  NPD Authorized official

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1609146240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440920182",
            "telephone_number": "216-374-5001",
            "fax_number": "440-975-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LARIMAR DR",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440955212",
            "telephone_number": "216-229-0292",
            "fax_number": "440-975-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY R WHALEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "RADER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-374-5001",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36003068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Willowick",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Willowick",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "144 Larimar Dr",
            "city": "Willowick",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dr Kelly R Whaley LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jada Johnson
• Latasha Johnson
• Ashley Marie Jude
• Brian Joseph Juriga, DO
• Jane Frances Kadlub
• Laronda S Kelly
• A William Kermavner
• Lynn Michelle Kost, M.A., CCC-SLP
• Patricia Kovac, R.N
• Daniel Frank Kovach, PHARMD

• Primary Podiatric Medicine Podiatrist in Willowick, OH
• Providers in Willowick, OH by specialty
• Primary Podiatric Medicine Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.