Organization Active NPI

Whelan W. Culley III MD PA

  • Family Medicine Physician
  • Seminole, FL
National Provider Identifier
1871533158
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0042533 Issued in FL
Legal business name
WHELAN W. CULLEY III MD PA
Practice address
8211- 113 St. North
Seminole, FL 33772-4128
Phone
(727) 398-5295
Fax
(727) 391-2742
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mary W Culley III, M.D.
Title
Owner
Phone
(727) 398-5295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0042533 FL Primary

Addresses

Primary practice location

8211- 113 St. North
Seminole, FL 33772-4128

Mailing address

8211- 113 Street North
Seminole, FL 33772-4128
Phone (727) 398-5295

Other names 1

  • Family Practice of Seminole Former legal business name

National Provider Directory

National Provider Directory

Locations

10850 Temple Ter
Ste 300
Seminole, FL 33772
Phone (727) 398-5295

8211 113th St
Seminole, FL 33772
Phone (727) 398-5295

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871533158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211- 113 STREET NORTH",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724128",
            "telephone_number": "727-398-5295",
            "fax_number": "727-391-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211- 113 ST. NORTH",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724128",
            "telephone_number": "727-398-5295",
            "fax_number": "727-391-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHELAN W. CULLEY III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-398-5295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0042533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice of Seminole",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.