Shaun Whisenant

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.135875 Issued in OH

Practice address

1365 Corporate Dr Ste a
Hudson, OH 44236-4432

Phone

(330) 342-5555

Fax

(330) 342-5651

NPI assigned

May 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Children'S Hospital Medical Center of Akron

  • Pediatrics Physician
  • Akron, OH
  • NPI 1841328853
  Medicare reassignment NPD
• Akron Children'S Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1942465752
  NPD
• Children'S Hospital Medical Center of Akron

  • Anesthesiology Physician
  • Boardman, OH
  • NPI 1417257601
  NPD
• Children'S Hospital Medical Center of Akron

  • Home Infusion Agency
  • Akron, OH
  • NPI 1649485848
  NPD
• Summa Health System

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1396765681
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1851749477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 CORPORATE DR STE A",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364432",
            "telephone_number": "330-342-5555",
            "fax_number": "330-342-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CORPORATE DR STE A",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364432",
            "telephone_number": "330-342-5555",
            "fax_number": "330-342-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISENANT",
        "first_name": "SHAUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.135875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swhisenant97128@direct.chmca.org",
            "affiliation": "N",
            "address_1": "1365 Corporate Dr Ste A",
            "city": "Hudson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442364432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghan Weiner, MD
• Eric Wentz
• Susan Werner, OTR/L
• Western Reserve Physicians, Inc
• Western Reserve Vision Care, Inc.
• Madeline B Whitacre
• Hayley Whitman, LPCC-S, IMFT-S
• Andrew Joseph Wilcoxson, LPCC
• Sara Lynn Wilson, CPRS
• Brandon Richard Allen Wire, PA-C

• Pediatrics Physician in Hudson, OH
• Providers in Hudson, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.