DEREK WHALEN (NPI# 1215545934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215545934 |
| Entity Type | Individual |
| Full Name | DEREK WHALEN |
| Credential | PA-C |
| Practice Address |
4910 Fairfield Rd Ste A Fairfield PA 17320-9510 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7173393175 |
| Mailing Telephone | 7173393175 |
| Mailing Fax Number | 7176429632 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MAO61728 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA061728 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4910 FAIRFIELD RD STE A |
| City | FAIRFIELD |
| State | PA |
| Zip Code | 17320-9510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891727723 | David Sadler Moore | Family Medicine | 4910 Fairfield Rd Ste A, Fairfield, PA 17320-9510 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1659417822 | Edgardo Fajardo Enriquez | Dentist | 34 Steelman Street, Fairfield, PA 17320 | 2007-01-29 |
| 1740286053 | Fairfield Community Fire Company Inc | Ambulance | 106 Steelman St, Fairfield, PA 17320 | 2005-06-22 |
| 1649500810 | Brenda Riley-gipe | Physical Therapist | 225 Emory Ln, Fairfield, PA 17320-7831 | 2010-01-11 |
| 1609482223 | Kelly Kurtz | Social Worker | 111 Janet Trl, Fairfield, PA 17320-8174 | 2020-09-18 |
| 1639731516 | Bob Harry Reid | Internal Medicine | 48 Lakeside Trl, Fairfield, PA 17320-8222 | 2019-07-01 |
| 1629030796 | Fairfield Medical Center Inc | Family Medicine | 4 Field Trl, Fairfield, PA 17320-8241 | 2006-04-04 |
| 1083971709 | John David Straw IIi | Hearing Instrument Specialist | 12 Water St, Fairfield, PA 17320-8252 | 2012-04-19 |
| 1962963397 | Olivia Leigh Brandt | Physician Assistant | 4 Skyline Trl, Fairfield, PA 17320-8560 | 2019-03-28 |
| 1518503689 | Greta Jones | Student in an Organized Health Care Education/Training Program | 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 | 2019-11-22 |
| Find all providers in zip 17320 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668205 | Melissa Hisako Reagan | Physician Assistant | 1261 Travis Blvd Ste 100, Fairfield, CA 94533-4804 | 2020-01-18 |
| 1467639385 | Akosua Rodriguez | Physician Assistant | 2720 Low Ct Fl 2, Fairfield, CA 94534-9771 | 2008-01-22 |
| 1215061775 | Terrelyn C Fernandez | Physician Assistant | 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 | 2007-03-15 |
| 1679618318 | Jennifer Chapman | Physician Assistant | 1801 Fairfield Beach Rd, Fairfield, CT 06824-6524 | 2007-02-20 |
| 1336251610 | Douglas K Casperson | Physician Assistant | 223 W Main, Ste A, Fairfield, MT 59436-6503 | 2006-08-31 |
| 1437142379 | Kayla Shaye Bell | Physician Assistant | 213 Nw 11th Street, Suite A, Fairfield, IL 62837 | 2005-08-25 |
| 1629513270 | Emily Elizabeth Helling | Physician Assistant | 2000 S Main St, Fairfield, IA 52556-9572 | 2017-01-05 |
| 1821546607 | Danielle Marie Centone | Physician Assistant | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2016-09-21 |
| 1629431002 | Cassaundra Kalman Craig | Physician Assistant | 5390 Dixie Hwy, Fairfield, OH 45014-4124 | 2016-04-01 |
| 1457735540 | Emily Woodall | Physician Assistant | 3000 Mack Rd, Fairfield, OH 45014-5335 | 2015-07-17 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.