Organization Active NPI

Dr Thomas Whealton PSC

  • Nurse Practitioner
  • Murray, KY
National Provider Identifier
1639956246
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DR THOMAS WHEALTON PSC
Practice address
1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Phone
(270) 971-4344
NPI assigned
Sep 8, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Mary Chase, DCNPI 1962779801
Title
Co-Owner
Phone
(270) 971-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759

Mailing address

1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Phone (270) 971-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231130001318 KY Part B Supplier - Clinic/Group Practice 5294183307 Receives reassigned benefits from 6 practitioners
Practice locations: Murray, KY
O20260523000142 KY DME Supplier - Multi-Specialty - Physician 5294183307 Practice locations: Murray, KY

National Provider Directory

National Provider Directory

Locations

1601 Highway 121 Byp N
Ste B
Murray, KY 42071
Phone (270) 971-4344

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1639956246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 121 BYP N STE B",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718759",
            "telephone_number": "270-971-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 121 BYP N STE B",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718759",
            "telephone_number": "270-971-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THOMAS WHEALTON PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "270-971-4344",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.