Organization Active NPI

Whitehaven OB-GYN, P.C.

  • Specialist
  • Southaven, MS
National Provider Identifier
1821268236
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
06684 Issued in MS
Legal business name
WHITEHAVEN OB-GYN, P.C.
Doing business as
Lance D. Whaley, M.D.
Practice address
60 Physicians LN Ste 2
Southaven, MS 38671-6122
Phone
(662) 349-7045
Fax
(662) 349-7048
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Carolyn Gaskill, R.N.
Title
Office Manager
Phone
(662) 349-7045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 06684 MS Primary

Addresses

Primary practice location

60 Physicians LN Ste 2
Southaven, MS 38671-6122

Mailing address

60 Physicians LN Ste 2
Southaven, MS 38671-6122
Phone (662) 349-7045

Other names 1

  • Lance D. Whaley, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

187 Stateline Rd E
Ste 11
Southaven, MS 38671
Phone (662) 280-8767

60 Physicians Ln
#2
Southaven, MS 38671
Phone (662) 349-7045

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1821268236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PHYSICIANS LN STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716122",
            "telephone_number": "662-349-7045",
            "fax_number": "662-349-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PHYSICIANS LN STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716122",
            "telephone_number": "662-349-7045",
            "fax_number": "662-349-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHAVEN OB-GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "GASKILL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-349-7045",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "06684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lance D. Whaley, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.