Active NPI
Spencer Thomas Whealon, D.O.
- Pulmonary Disease Physician
- Wynnewood, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- OS019662
- Practice address
- 100 E Lancaster Ave Ste 230
Wynnewood, PA 19096-3451 - Phone
- (610) 642-3796
- NPI assigned
- Apr 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS019662 | PA | |
| Hospitalist Physician | 208M00000X | OS019662 | PA | |
| Pulmonary Disease Physician | 207RP1001X | OS019662 | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave Ste 230
Wynnewood, PA 19096-3451
Mailing address
100 E Lancaster Ave Ste 230
Wynnewood, PA 19096-3451
Phone (610) 642-3796
Other practice location 1
1068 W Baltimore Pike
Media, PA 19063-5104
Phone (484) 337-4216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Philadelphia College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (610) 648-0553
Hospital & facility affiliations
- Main Line Hospital Lankenau
- Paoli Hospital
- Bryn Mawr Hospital
- Riddle Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS019662 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Internal Medicine | Current | Accepting new patients |
| Pulmonology Associates Inc | Pulmonary Disease | Current | Accepting new patients |
| Main Line Hospitals, Inc. | Past | Accepting new patients |
Locations
1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400
255 W Lancaster Ave
Ste 124
Paoli, PA 19301
Phone (610) 648-0553
100 E Lancaster Ave
Ste 230
Wynnewood, PA 19096
Phone (610) 642-3796
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
100 E Lancaster Ave
Ste 230W
Wynnewood, PA 19096
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DJJDBA
- spencer.whealon@pai.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Wynnewood, PA
- NPI 1437180742
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1740609148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE STE 230",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963451",
"telephone_number": "610-642-3796",
"fax_number": "610-627-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE STE 230",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963451",
"telephone_number": "610-642-3796"
}
],
"practiceLocations": [
{
"address_1": "1068 W Baltimore Pike",
"address_purpose": "LOCATION",
"city": "Media",
"state": "PA",
"postal_code": "190635104",
"country_code": "US",
"telephone_number": "484-337-4216",
"fax_number": "610-627-4230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEALON",
"first_name": "SPENCER",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS019662",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "OS019662",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "OS019662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.