Michael E Whoberry, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28066860A Issued in IN

Practice address

1314 E Walnut St
Washington, IN 47501-2120

Phone

(812) 254-2760

Fax

(812) 254-8636

NPI assigned

Apr 5, 2006

Last updated

Mar 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

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.

• Sutton Medical Services, LLC

  • Rehabilitation Hospital Unit
  • Washington, IN
  • NPI 1477734275
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1700848512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010032",
            "telephone_number": "812-254-2760",
            "fax_number": "812-254-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E WALNUT ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012120",
            "telephone_number": "812-254-2760",
            "fax_number": "812-254-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHOBERRY",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28066860A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200195480",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000190468",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Weisman, NP
• Chyler Rayn Weiss
• Trudy Wessell, NP
• White Stone Counseling
• Lillian Joy White
• Candace Nicole Wibbeler
• Wiggle Strong, LLC
• Williams Bros. Health Care Pharmacy, Inc (Williams Bros. Long Term Care Pharmacy)
• Williams Bros. Health Care Pharmacy, Inc (Williams Bros. Rx Express)
• Williams Bros. Health Care Pharmacy, Inc.

• Certified Registered Nurse Anesthetist in Washington, IN
• Providers in Washington, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.