Active NPI
Jeanne Whelan Fitzgibbon, CRNP
- Internal Medicine Physician
- Owings Mills, MD
National Provider Identifier
1669585949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R045911
- Practice address
- 5 Park Center CT
Suite 200
Owings Mills, MD 21117-4201 - Phone
- (410) 636-4900
- Fax
- (410) 363-9426
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- 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 | R045911 | MD | Primary |
Addresses
Primary practice location
5 Park Center CT
Suite 200
Owings Mills, MD 21117-4201
Mailing address
5 Park Center CT
Suite 200
Owings Mills, MD 21117-4201
Phone (410) 636-4900
Other names 1
- Jeanne Whealan
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R045911 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saba & Associates, M.D., P.a. | Past | Accepting new patients | |
| St. Joseph Physician Enterprise | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Owings Mills Internal Medicine Associates
- Multi-Specialty Clinic/Center
- Owings Mills, MD
- NPI 1306962139
-
- Multi-Specialty Clinic/Center
- Towson, MD
- NPI 1518143304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669585949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PARK CENTER CT",
"address_2": "SUITE 200",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174201",
"telephone_number": "410-636-4900",
"fax_number": "410-363-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PARK CENTER CT",
"address_2": "SUITE 200",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174201",
"telephone_number": "410-636-4900",
"fax_number": "410-363-9426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGIBBON",
"first_name": "JEANNE",
"middle_name": "WHELAN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "R045911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "WHEALAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.