Individual provider Active NPI

Alan E Whipple

  • Family Medicine Physician
  • Copalis Beach, WA
National Provider Identifier
1962484246
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001449 Issued in WA
Practice address
3010 St RT 109
Copalis Beach, WA 98535
Phone
(360) 289-2427
Fax
(360) 289-9982
NPI assigned
Nov 14, 2005
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00001449 WA Primary

Addresses

Primary practice location

3010 St RT 109
Copalis Beach, WA 98535

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (206) 764-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20071226000506 WA Practitioner - Osteopathic Manipulative Medicine 2365532629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Confederated Tribes of the Chehalis ReservationGroup PAC ID 1153219829, 4 clinicians

Practice addresses (Care Compare)

21 Neiderman Rd
Oakville, WA 98568-8910
Phone (360) 273-5504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP00001449WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Chehalis Reservation CurrentSince Nov 5, 2015 Accepting new patients
Confederated Tribes of the Chehalis Reservation CurrentSince Nov 5, 2015 Accepting new patients

Locations

21 Niederman Rd
Oakville, WA 98568
Phone (360) 273-5504

Interoperability endpoints

  • Direct secure messaging: awhipple807247@direct.ochin.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1962484246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "206-764-3335",
            "fax_number": "206-764-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 ST RT 109",
            "city": "COPALIS BEACH",
            "state": "WA",
            "postal_code": "98535",
            "telephone_number": "360-289-2427",
            "fax_number": "360-289-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "ALAN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copalis Beach, WA

Sources for this page

Verify at the official NPI Registry.