Individual provider Active NPI

Philip Francis Whalen, CRNA

  • Certified Registered Nurse Anesthetist
  • Suffolk, VA
National Provider Identifier
1700979176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024110281 Issued in VA
Practice address
2600 Godwin Blvd
Suffolk, VA 23434
Phone
(757) 934-4000
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024110281 VA Primary

Addresses

Primary practice location

2600 Godwin Blvd
Suffolk, VA 23434

Mailing address

3304 Morningside Dr
Chesapeake, VA 23321-4614
Phone (757) 483-8951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000631 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315990827 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Nov 1, 2014 Accepting new patients
Bayview Physician Services, PC CurrentSince Nov 1, 2014 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Mar 1, 2013 Accepting new patients
Virginia Gastroenterology Institute PC CurrentSince Jul 6, 2020 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince Sep 1, 2015 Accepting new patients
Sentara Medical Group CurrentSince Jun 28, 2010 Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2790 Godwin Blvd
Ste 205
Suffolk, VA 23434
Phone (757) 934-7753

1900 N Main St
Suffolk, VA 23434
Phone (757) 867-6101

3910 Bridge Rd
Ste 101
Suffolk, VA 23435
Phone (757) 942-2566

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Organizations & group practices 6

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700979176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 MORNINGSIDE DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214614",
            "telephone_number": "757-483-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23434",
            "telephone_number": "757-934-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "PHILIP",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024110281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.