Individual provider Active NPI

Patrick Whalen, MD

  • Anesthesiology Physician
  • Lewiston, ME
National Provider Identifier
1669423505
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD454920 Issued in PA
Practice address
300 Main Street
Lewiston, ME 04240
Phone
(207) 795-8320
Fax
(207) 795-8329
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G51834 CA
Anesthesiology Physician 207L00000X 018240 ME
Anesthesiology Physician 207L00000X MD454920 PA Primary

Addresses

Primary practice location

300 Main Street
Lewiston, ME 04240

Mailing address

PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554

Other identifiers 2

IdentifierTypeStateIssuer
434557499MedicaidME
00G518340MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150909002828 PA Practitioner - Anesthesiology 6709942675 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G51834CAMDAnesthesiology Physician
MD454920PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Geisinger Clinic CurrentSince Sep 5, 2023 Accepting new patients
Northstar Anesthesia of Delaware, LLC Anesthesiology CurrentSince Nov 2, 2022 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Sep 1, 2015 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 5, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Aug 19, 2021 Accepting new patients
Lehigh Valley Anesthesia Services, P. C. Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Geisinger Clinic CurrentSince Sep 5, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 5, 2023 Accepting new patients
Aaamg, Inc., a California Medical Corporation Anesthesiology Past Accepting new patients

Locations

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

4905 W Tilghman St
Ste 250
Allentown, PA 18104
Phone (484) 866-9581

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

100 N Academy Ave
Danville, PA 17822

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1669423505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN STREET",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-795-8320",
            "fax_number": "207-795-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G51834",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "018240",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD454920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434557499",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G518340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.