Active NPI
Guy M Whalen, M.D.
- Internal Medicine Physician
- Orchard Park, NY
National Provider Identifier
1629052667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 178512
- Practice address
- 3675 Southwestern Blvd
Orchard Park, NY 14127-1732 - Phone
- (716) 972-0279
- Fax
- (716) 972-0273
- NPI assigned
- Dec 2, 2005
- Last updated
- Jul 26, 2014
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 178512 | NY | Primary |
Addresses
Primary practice location
3675 Southwestern Blvd
Orchard Park, NY 14127-1732
Mailing address
3675 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone (716) 972-0279
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0409951 | Other | NY | IHA |
| 000510800004 | Other | NY | BC/BS |
| 434280 | Other | NY | WELLCARE |
| 01140472 | Medicaid | NY | |
| 00010188203 | Other | NY | UNIVERA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406332800000",
"number": "1629052667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3675 SOUTHWESTERN BLVD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271732",
"telephone_number": "716-972-0279",
"fax_number": "716-972-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 SOUTHWESTERN BLVD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271732",
"telephone_number": "716-972-0279",
"fax_number": "716-972-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "GUY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2014-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "178512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "0409951",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000510800004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "434280",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01140472",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010188203",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
- Janet B. Westenberger Heywood, D.O.
- Western New York DC, LLC (Orchard Park Dialysis Center)
- Western New York Ear, Nose & Throat, P.C.
- Western New York Immediate Medical Care LLC
- Western New York Pediatric Associates, LLP
- Megan Wheeler
- Terry John Whieldon, PHYSICAL THERAPIST
- Sarah Elizabeth White
- Barbara Y Whiteside, PA
- Patricia Whittall, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.