Active NPI
Gayle Marie Whatley
- Medical Art Specialist/Technologist
- Lake Orion, MI
National Provider Identifier
1679060735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Art Specialist/Technologist
- License
- BA0000450
- Practice address
- 400 W Clarkston Rd Ste B
Lake Orion, MI 48362-4101 - Phone
- (248) 814-8525
- NPI assigned
- Apr 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Art Specialist/Technologist | 246ZA2600X | BA0000450 | MI | Primary |
Addresses
Primary practice location
400 W Clarkston Rd Ste B
Lake Orion, MI 48362-4101
Mailing address
400 W Clarkston Rd Ste B
Lake Orion, MI 48362-4101
Phone (248) 814-8525
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA0000450 | MI | MD | Medical Art Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523750400000",
"number": "1679060735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W CLARKSTON RD STE B",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483624101",
"telephone_number": "248-814-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W CLARKSTON RD STE B",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483624101",
"telephone_number": "248-814-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHATLEY",
"first_name": "GAYLE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-15",
"last_updated": "2018-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "246ZA2600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Art, Medical",
"state": "MI",
"license": "BA0000450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.