Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0101032614 | VA |
NPI | 1073504254 |
---|---|
Provider Name | Dr. Thomas Vincent Whelan |
First Address | Virginia Beach, VA 23452-1160 |
Second Address | Suffolk, VA 23434-9234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 13/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10133134 | OPTIMA HEALTH (01) | VA |
1073504254 | (05) | NC |
1073504254 | (05) | VA |
1073504254 | UNITED HEALTHCARE (01) | VA |
1073504254 | VIRGINIA PREMIER HEALTH PLAN (01) | VA |
D80469 | (02) | VA |
PAR | AETNA (01) | VA |
PAR | CIGNA (01) | VA |