Larry Whetsell (NPI# 1588150882, PAC ID# 5597013581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588150882 |
| PAC ID by PECOS | 5597013581 |
| Professional Enrollment ID | I20180808000467 |
| Full Name | Larry Whetsell |
| Organization Legal Name | ATLANTIC MEDICAL GROUP |
| Address |
3501 Lesh St Ne Canton OH 44705-3501 |
| Phone Number | 3304563487 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749564557 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360070 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3501 Lesh St Ne, Canton, OH 44705-3501 | 3304563487 | ATLANTIC MEDICAL GROUP |
| Organization Legal Name | ATLANTIC MEDICAL GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda C Hemmerich | Pathology | Atlantic Medical Group | 2541 N Queen St, Kinston, NC 28501-1632 |
| John N Pinghero | Chiropractic | Atlantic Medical Group | 3501 Lesh St Ne, Canton, OH 44705-3501 |
| Anup Dev T Salgia | Emergency Medicine | Atlantic Medical Group | 3501 Lesh St Ne, Canton, OH 44705-3501 |
| Street Address |
3501 LESH ST NE |
| City | CANTON |
| State | OH |
| Zip | 44705-3501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John N Pinghero | Chiropractic | Atlantic Medical Group | 3501 Lesh St Ne, Canton, OH 44705-3501 |
| Anup Dev T Salgia | Emergency Medicine | Atlantic Medical Group | 3501 Lesh St Ne, Canton, OH 44705-3501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lamberto T Galang | Internal Medicine | Mercy Professional Care Corp | 1459 Superior Ave Ne, Canton, OH 44705-1964 |
| Daniel S Blumer | Family Medicine | 2662 Columbus Rd Ne, Canton, OH 44705-3705 |
| City | CANTON |
| Zip Code | 44705 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Larry Whetsell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.