MRS. ALEXIS CIRILLI WHALEY (NPI# 1366450009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366450009 |
| Entity Type | Individual |
| Full Name | MRS. ALEXIS CIRILLI WHALEY |
| Credential | MD |
| Practice Address |
1711 S Stephenson Ave Suite 210 Iron Mountain MI 49801-3639 |
| Mailing Address |
Po Box 549 Iron Mountain MI 49801-0549 |
| Practice Telephone | 9067765800 |
| Practice Fax Number | 9067765801 |
| Mailing Telephone | 9067741313 |
| Mailing Fax Number | 9067765639 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 70729 | MT | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 4301088606 | MI | Allopathic & Osteopathic Physicians |
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
70729 | MT | Allopathic & Osteopathic Physicians |
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
4301088606 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MI | 3502210752 | 01 |
| WI | 34889600 | 05 | |
| MI | 4907994 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 Heritage Way Ste 2100, Kalispell, MT 599013167 | 4062578992 |
| Street Address |
1711 S STEPHENSON AVE SUITE 210 |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434849 | Daniel M Mitchell | Family Medicine | 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 | 2005-08-12 |
| 1053883256 | Baycare Clinic, LLP | Neurological Surgery | 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 | 2018-12-28 |
| 1891176806 | Dickinson County Healthcare System | Surgery | 1711 S Stephenson Ave, Ste 305, Iron Mountain, MI 49801-3639 | 2015-06-16 |
| 1316330566 | Emily Warren | Student in an Organized Health Care Education/Training Program | 1711 S Stephenson Ave, Iron Mountain, MI 49801 | 2015-03-12 |
| 1326455015 | Dickinson County Healthcare System | Internal Medicine | 1711 S Stephenson Ave, Suite 315, Iron Mountain, MI 49801-3639 | 2014-07-15 |
| 1043635378 | Dickinson County Healthcare System | Internal Medicine | 1711 S Stephenson Ave, Suite 125, Iron Mountain, MI 49801-3639 | 2014-02-24 |
| 1992141352 | Michigan-wisconsin Family Practice Associates, P.C. | Family Medicine | 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 | 2013-05-13 |
| 1700125150 | Dickinson County Healthcare System | Family Medicine | 1711 S Stephenson Ave, Suite 115, Iron Mountain, MI 49801-3639 | 2013-02-05 |
| 1841534484 | Dickinson County Healthcare System | Audiologist | 1711 S Stephenson Ave, Suite 320, Iron Mountain, MI 49801-3639 | 2012-11-20 |
| 1366721953 | Jeffrey Richard Hutchinson | Audiologist | 1711 S Stephenson Ave, Suite 320, Iron Mountain, MI 49801-3639 | 2011-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261684 | Steven Thomas Wiles | Pediatrics | 1711 S Stephenson Ave Ste 210, Iron Mountain, MI 49801 | 2005-11-08 |
| 1912496696 | Bellin Health Iron Mountain Inc | Pediatrics | 1711 S Stephenson Ave Ste 210, Iron Mountain, MI 49801-3649 | 2018-05-08 |
| 1154613594 | Dickinson County Healthcare System | Pediatrics | 1711 S Stephenson Ave, Suite 230, Iron Mountain, MI 49801-3639 | 2011-05-04 |
| 1427340868 | Dickinson County Healthcare System | Pediatrics | 1711 S Stephenson Ave, Suite 230, Iron Mountain, MI 49801-3639 | 2011-05-04 |
| 1437380292 | Binod Tuladhar | Pediatrics | 1711 S Stephenson Ave, Suite 210, Iron Mountain, MI 49801-3639 | 2009-07-28 |
| 1043407174 | Thomas H Lamirand | Pediatrics | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2007-10-03 |
| 1205996162 | Sumathi Parvataneni | Pediatrics | 1711 S Stephenson Ave, Suite 210, Iron Mountain, MI 49801-3639 | 2006-12-11 |
| 1003975863 | Michael Harris Carpenter | Pediatrics | 1711 S Stephenson Ave Ste 210, Iron Mountain, MI 49801-3649 | 2006-12-07 |
| 1083659502 | Dickinson County Healthcare System | Pediatrics | 1711 S Stephenson Ave, Suite 210, Iron Mountain, MI 49801-3639 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498946 | Positively Pediatrics Pllc | Pediatrics | 120 N Bridge St Ste D, Linden, MI 48451-8823 | 2020-08-19 |
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1083252324 | Faith Cares Inc | Pediatrics | 9633 Sil St, Taylor, MI 48180-3028 | 2019-12-17 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1528611175 | Emad Kassas | Pediatrics | 358 E Chicago St Ste C, Coldwater, MI 49036-2072 | 2019-07-23 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1215403597 | Mfed Mosely | Pediatrics | 21840 23rd Mile Road, Macomb Twnp, MI 48040-2496 | 2018-10-15 |
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1386139913 | Southfield Pediatrics Pllc | Pediatrics | 28500 Southfield Rd Ste 100, Lathrup Village, MI 48076-2722 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
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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.