DR. CHARLES ELRIDGE WHALEN (NPI# 1922173814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922173814 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ELRIDGE WHALEN |
| Credential | M.D. |
| Practice Address |
560 S Loop Rd Edgewood KY 41017-3405 |
| Practice Telephone | 8593012663 |
| Practice Fax Number | 8593010655 |
| Mailing Telephone | 8593012663 |
| Mailing Fax Number | 8593010655 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2015-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 21476 | KY | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 21476 | KY | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
21476 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64865413 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232156 | Charles J Whalen | Internal Medicine | 2514 E Dupont Rd, Fort Wayne, IN 46825-1623 | 2005-08-10 |
| 1619167103 | Charles Patrick Whalen | Chiropractor | 24865 5 Mile Rd, Suite 3, Redford, MI 48239-3694 | 2007-07-31 |
| Street Address |
560 S LOOP RD |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262793 | Bruce Robert Holladay | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2005-06-01 |
| 1265043103 | Karli Danielle Beasley | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2020-08-13 |
| 1972128403 | Maria Reitzes | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2020-06-10 |
| 1669019535 | Gina Schuler | Nurse Practitioner | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-12-10 |
| 1700422995 | Samuel Jacob Dedden | Physician Assistant | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-11-21 |
| 1740825355 | Danielle Dupont | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-11-07 |
| 1215596895 | Emily Nicole Rolf | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-06-07 |
| 1730747098 | Pamela Marie Wisniewski | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2019-06-03 |
| 1821577677 | Chase R Stanley | Specialist/Technologist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2018-08-13 |
| 1831682012 | Bryan Vranic | Physical Therapist | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457415176 | Steven Donaciano Villegas | Internal Medicine | 3005 Dixie Hwy Ste 20, Edgewood, KY 41017-2380 | 2006-12-20 |
| 1417049057 | Emily Jane Tanael | Internal Medicine | 51 Mercedes Way, Edgewood, NY 11791 | 2006-09-29 |
| 1417486374 | Sundeep Singh Bajwa | Internal Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2017-06-05 |
| 1205246394 | Joshua Necamp | Internal Medicine | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2014-04-29 |
| 1821416645 | Matthew Jacob Kotlove | Internal Medicine | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2014-03-29 |
| 1366789026 | Gurjeet Singh Sandhu | Internal Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2013-01-14 |
| 1407121601 | Stephen Joseph Schutzman | Internal Medicine | 900 Medical Village Dr, Edgewood, KY 41017-3422 | 2012-03-20 |
| 1346513538 | Lifebridge Community Physicians, Inc | Internal Medicine | 1401 Pulaski Hwy, Suite M, Edgewood, MD 21040-1398 | 2012-02-17 |
| 1922397363 | Amaninderapal S Ghotra | Internal Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2011-04-06 |
| 1629377148 | James Brandon Watson | Internal Medicine | 1 Medical Village Dr, Edgewood, KY 41017 | 2011-03-23 |
| Find all providers in EDGEWOOD | ||||
Please comment or provide details below to improve the information on DR. CHARLES ELRIDGE WHALEN.
| 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.