Organization Active NPI

Dr Whaley Pain Management Clinic

Doing business as Whaley Health and Pain Management, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Stuttgart, AR
National Provider Identifier
1740013739
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DR WHALEY PAIN MANAGEMENT CLINIC
Doing business as
Whaley Health and Pain Management, PLLC
Practice address
413 E Michigan St
Stuttgart, AR 72160-3269
Phone
(501) 227-0700
Fax
(501) 227-0744
NPI assigned
Aug 23, 2024
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DR WHALEY PAIN MANAGEMENT CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Heather Whaley, MDNPI 1487098190
Title
Owner
Phone
(501) 554-6005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

413 E Michigan St
Stuttgart, AR 72160-3269

Mailing address

PO Box 55990
Little Rock, AR 72215-5990
Phone (501) 227-0700

Other names 1

  • Whaley Health and Pain Management, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241008003218 AR Part B Supplier - Clinic/Group Practice 3870024359 Receives reassigned benefits from 1 practitioner
Practice locations: Stuttgart, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2323899Whaley Health and Pain Management413 East Michigan Street, Stuttgart, AR 72160Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory
Part of
Dr Whaley Pain MGMT Clinic

Locations

413 E Michigan St
Stuttgart, AR 72160

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJJFDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1740013739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55990",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155990",
            "telephone_number": "501-227-0700",
            "fax_number": "501-227-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E MICHIGAN ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603269",
            "telephone_number": "501-227-0700",
            "fax_number": "501-227-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WHALEY PAIN MANAGEMENT CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR WHALEY PAIN MANAGEMENT CLINIC",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-554-6005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whaley Health and Pain Management, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuttgart, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.