Individual provider Active NPI

Ronald Joseph Whetstone Sr, PA-C

  • Medical Physician Assistant
  • Horsham, PA
National Provider Identifier
1992717896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA000214L Issued in PA
Practice address
433 Caredean Dr
Horsham, PA 19044-1321
Phone
(215) 823-6050
Fax
(215) 823-4425
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA000214L PA Primary

Addresses

Primary practice location

433 Caredean Dr
Horsham, PA 19044-1321

Mailing address

10003 Warfield PL
Philadelphia, PA 19114-1520
Phone (215) 632-8310

Other names 1

  • Mr. Timothy H Graham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA000214LPAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992717896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 WARFIELD PL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141520",
            "telephone_number": "215-632-8310",
            "fax_number": "215-823-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CAREDEAN DR",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441321",
            "telephone_number": "215-823-6050",
            "fax_number": "215-823-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSTONE SR",
        "first_name": "RONALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000214L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "GRAHAM",
            "middle_name": "H",
            "prefix": "MR.",
            "credential": "J.D., LL.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Horsham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.