Active NPI
Gregory M Whisman, MD
- Family Medicine Physician
- Powell, OH
National Provider Identifier
1669667598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.089537
- Practice address
- 28 Hidden Ravines Drive
Powell, OH 43065-8736 - Phone
- (740) 549-7450
- Fax
- (740) 549-7454
- NPI assigned
- Sep 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35089537 | OH | |
| Family Medicine Physician | 207Q00000X | 35.089537 | OH | Primary |
Addresses
Primary practice location
28 Hidden Ravines Drive
Powell, OH 43065-8736
Mailing address
L-3401
Columbus, OH 43260-3401
Phone (740) 615-1324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2781164 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.089537 | OH | MD | Family Medicine Physician |
| 35089537 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Inpatient Medicine, Inc. | Past | Accepting new patients | |
| Mount Carmel Health | Family Medicine | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1609916451
-
dba Mt. Carmel Family Practice
- Family Medicine Physician
- Westerville, OH
- NPI 1184646705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1669667598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "L-3401",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432603401",
"telephone_number": "740-615-1324",
"fax_number": "740-615-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 HIDDEN RAVINES DRIVE",
"city": "POWELL",
"state": "OH",
"postal_code": "430658736",
"telephone_number": "740-549-7450",
"fax_number": "740-549-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHISMAN",
"first_name": "GREGORY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-13",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35089537",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.089537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2781164",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.