DR. JAMES R WHELAN (NPI# 1396743068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396743068 |
| Entity Type | Individual |
| Full Name | DR. JAMES R WHELAN |
| Credential | M.D, |
| Practice Address |
8950 Professional Dr Cadillac MI 49601-8599 |
| Practice Telephone | 2317752493 |
| Practice Fax Number | 2317752570 |
| Mailing Telephone | 2317752493 |
| Mailing Fax Number | 2317752570 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | JW055922 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2904160 | 05 | |
| MI | INDIVIDUAL BCBS | 0808302581 | 01 |
| MI | PREFERRED CHOICES | 103848 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598754772 | James William Whelan | Anesthesiology | 412 Abiso Ave, San Antonio, TX 78209-5107 | 2005-10-19 |
| 1578983144 | James Hazelton Whelan | Podiatrist | Beloit Health System Inc, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2014-04-23 |
| 1760706311 | James Michael Whelan | Pharmacist | 925 Hempstead Tpke, Franklin Square, NY 11010-3641 | 2010-03-24 |
| 1558532432 | James Joseph Whelan Jr. | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2008-03-18 |
| 1922187202 | James F Whelan | Psychologist | 341 Pine St, South Portland, ME 04106-3842 | 2006-11-06 |
| 1649224445 | James Herman Whelan | Pharmacist | 1500 E Woodrow Wilson Ave, Pharmacy Service (119), Jackson, MS 39216-5116 | 2006-05-19 |
| 1174571327 | James F Whelan | Specialist | 1250 E Marshall St, Dept of Surgery, Richmond, VA 23298-5051 | 2006-05-04 |
| Street Address |
8950 PROFESSIONAL DR |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-8599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945017 | Tania M Lebaron | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2005-07-07 |
| 1225564248 | Anne Broad | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2017-05-11 |
| 1699201707 | Kayla Stefanko | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2017-05-10 |
| 1386984920 | Scott Philburn | Physician Assistant | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2013-02-19 |
| 1881986222 | Ryan Andrew Straight | Physician Assistant | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2011-05-04 |
| 1336299668 | Cadillac Family Physicians, P.C. | Clinic/Center | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2007-01-11 |
| 1871573667 | Dominic James Kiomento | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2006-01-19 |
| 1427056191 | Ronald D Simmons | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2005-07-07 |
| 1245238989 | Thomas G Smith | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2005-07-07 |
| 1447258116 | Alan J Conrad | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2005-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1477632842 | Kerry M Day-krusniak | Family Medicine | 7597 Mackinaw Trl, Cadillac, MI 49601-8422 | 2006-11-04 |
| 1912908252 | Gerald Dudek | Family Medicine | 827 E Division St, Cadillac, MI 49601-2015 | 2005-08-09 |
| 1316945017 | Tania M Lebaron | Family Medicine | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2005-07-07 |
| 1295738060 | Douglas E Cox | Family Medicine | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | 2005-05-24 |
| 1740773456 | Amanda M Shoemaker | Family Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2018-06-08 |
| 1164914214 | Natalie E Cook | Family Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2018-06-05 |
| 1902398514 | Richard F Giannotti Jr. | Family Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2018-05-31 |
| 1184116873 | Derek E Pyne | Family Medicine | 400 Hobart St, Cadillac, MI 49601-2331 | 2018-05-30 |
| 1750871117 | Munson Healthcare Cadillac | Family Medicine | 302 Hobart St, Cadillac, MI 49601-2379 | 2018-05-11 |
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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.