Individual provider Active NPI

Stanley W Whisenant, MD

  • Pain Medicine (Anesthesiology) Physician
  • Greenville, TX
National Provider Identifier
1740349836
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J7725 Issued in TX
Practice address
4000 Wesley St Ste D
Greenville, TX 75401-9015
Phone
(945) 766-4457
Fax
(972) 777-9939
NPI assigned
Dec 6, 2006
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J7725 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X J7725 TX Primary

Addresses

Primary practice location

4000 Wesley St Ste D
Greenville, TX 75401-9015

Mailing address

2931 Ridge Rd Ste 101-159
Rockwall, TX 75032-6670
Phone (945) 766-4457

Other identifiers 6

IdentifierTypeStateIssuer
92272OtherTXAVAILITY
J7725OtherTXTEX MEDICAL LICENSE
688993OtherTXAMBETTER
8AE000OtherTXBCBS TX
0053MTOtherTXBCBS TX
395576OtherTXWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050906000119 TX Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Other (Physician) 3971535519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of New Mexico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8301 Lakeview Pkwy
Suite 200
Rowlett, TX 75088-9321
Phone (972) 276-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J7725TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summitt Specialists of Pain LLC Anesthesiology CurrentSince Mar 1, 2008 Accepting new patients
Frisco Anesthesia & Pain Management, PLLC Anesthesiology PastSince Jan 1, 2008 Accepting new patients
Assured Anesthesia Consultants, PLLC Anesthesiology Past Accepting new patients
Garland Anesthesia Consultants, PA Anesthesiology Past Accepting new patients
Mesquite Professional Anesthesia, PA Anesthesiology Past Accepting new patients

Locations

711 W Broad St
Forney, TX 75126
Phone (972) 552-5559

4000 Wesley St
Ste D
Greenville, TX 75401
Phone (903) 269-1301

2821 George Bush Hwy
Ste 103
Richardson, TX 75082
Phone (972) 276-6300

2931 Ridge Rd
Ste 101159
Rockwall, TX 75032

8301 Lakeview Pkwy
Ste 200
Rowlett, TX 75088
Phone (972) 276-6300

Interoperability endpoints

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

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1740349836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 RIDGE RD STE 101-159",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326670",
            "telephone_number": "945-766-4457",
            "fax_number": "972-777-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WESLEY ST STE D",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754019015",
            "telephone_number": "945-766-4457",
            "fax_number": "972-777-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISENANT",
        "first_name": "STANLEY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J7725",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J7725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVAILITY",
            "identifier": "92272",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEX MEDICAL LICENSE",
            "identifier": "J7725",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBETTER",
            "identifier": "688993",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8AE000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0053MT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "395576",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.