Whidbey Island Public Hospital District

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT

Practice address

116 Macallister Way
Rockingham, VA 22801-2430

Phone

(360) 678-5151

Fax

(360) 678-7676

NPI assigned

Feb 21, 2017

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Ronald L Telles

Title

Ceo

Phone

(360) 678-7656

Specialties & licenses 1

Addresses

Other names 1

• WhidbeyHealth Telehealth Other name

Part of

Whidbey Island Pub Hospital

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Whidbey Island Public Hospital District

  • Psychiatry Physician
  • Arlington, VA
  • NPI 1538770623
  NPPES parent name

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1801335963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243603",
            "telephone_number": "360-678-5151",
            "fax_number": "360-678-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MACALLISTER WAY",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228012430",
            "telephone_number": "360-678-5151",
            "fax_number": "360-678-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
        "enumeration_date": "2017-02-21",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "TELLES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-678-7656"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhidbeyHealth Telehealth",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WhidbeyHealth Telehealth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Christine Weaver, RN
• Samantha Leigh Weinberg, DOM, LAC
• Kristin Flora Wenger, M.S. CCC-SLP
• Kristina M. Wessels, MD
• Paul E. Whalen Jr., M.D.
• Julian Bergen White, MS, CCC-SLP
• Rachel M Whitehair, MD
• Hannah Wiedeman
• Eugene Williams, PA-C
• Mark Daniel Williams, D.O.

• Psychiatry Physician in Rockingham, VA
• Providers in Rockingham, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.