Individual provider Active NPI

Terry L Whipple, MD FACS

  • Orthopaedic Surgery Physician
  • Henrico, VA
National Provider Identifier
1871533364
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101021093 Issued in VA
Practice address
9930 Independence Park Dr
Ste 101
Henrico, VA 23233
Phone
(804) 290-0060
Fax
(804) 290-0206
NPI assigned
Jun 7, 2006
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101021093 VA Primary

Addresses

Primary practice location

9930 Independence Park Dr
Ste 101
Henrico, VA 23233

Mailing address

9930 Independence Park Dr
Ste 101
Henrico, VA 23233-1475
Phone (804) 290-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20120106000139 VA Practitioner - Orthopedic Surgery 5193815793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Virginia School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillelson-Whipple Clinic Dba American SelfGroup PAC ID 7113017716, 2 clinicians

Practice addresses (Care Compare)

9930 Independence Park Dr
Suite 101
Henrico, VA 23233-1475
Phone (804) 290-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101021093VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Hillelson-Whipple Clinic Dba American Self Orthopaedic Surgery CurrentSince Mar 1, 2000 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

1712 E Broad St
Richmond, VA 23223
Phone (804) 344-9848

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

6550 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425

9930 Independence Park Dr
Ste 101
Richmond, VA 23233
Phone (804) 290-0060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1871533364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 INDEPENDENCE PARK DR",
            "address_2": "STE 101",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331475",
            "telephone_number": "804-290-0060",
            "fax_number": "804-290-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 INDEPENDENCE PARK DR",
            "address_2": "STE 101",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23233",
            "telephone_number": "804-290-0060",
            "fax_number": "804-290-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "TERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101021093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.