SIDNEY F WHALEY JR (NPI# 1336129154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336129154 |
| Entity Type | Organization |
| Organization Name | SIDNEY F WHALEY JR |
| Practice Address |
314 Mlk Jr Wy #210 Tacoma WA 98405-4271 |
| Practice Telephone | 2533831529 |
| Practice Fax Number | 2535934344 |
| Mailing Telephone | 2533831529 |
| Mailing Fax Number | 2535934344 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | MR. SIDNEY F WHALEY JR. (PRESIDENT) |
| Authorized Official Telephone | 2533831529 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
10945 | WA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
10945 | WA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 10945 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1930007 | 05 | |
| REGENCE | WH4111 | 01 |
| Street Address |
314 MLK JR WY #210 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760646129 | Aaron Pace | Dermatology | 1901 S Union Ave Ste B3003, Tacoma, WA 98405-1803 | 2008-07-15 |
| 1508048182 | Angela L Ladenburg | Dermatology | 4707 S 19th St Ste 130, Tacoma, WA 98405-1151 | 2007-12-05 |
| 1699194175 | Thomas Lam | Dermatology | 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2014-04-10 |
| 1225473416 | Vijay Vanchinathan | Dermatology | 209 Martin Luther King Jr Way, Tacoma, WA 98405 | 2013-05-02 |
| 1891058145 | Kristopher M Peters | Dermatology | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-4613 | 2012-06-21 |
| 1922398585 | Pace Dermatology Associates, Pllc | Dermatology | 1901 S Union Ave, Suite B 3003, Tacoma, WA 98405-1702 | 2011-04-15 |
| 1881929560 | Andrew Patrick Pace | Dermatology | 1901 S Union Ave, Sute B3003, Tacoma, WA 98405-1702 | 2009-10-13 |
| 1881844116 | Kent Saunders | Dermatology | 9040 Jackson Ave, Tacoma, WA 98431-5648 | 2008-09-23 |
| 1790932903 | Sidney F Whaley Jr | Dermatology | 1708 E 44th St, Community Health Care, Tacoma, WA 98404-4611 | 2008-08-20 |
| 1457418410 | Jill R. Rosenthal | Dermatology | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-01-02 |
| Find all providers in TACOMA | ||||
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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.