JEFFREY WAYNE WHIGHTSEL (NPI# 1023004439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023004439 |
| Entity Type | Individual |
| Full Name | JEFFREY WAYNE WHIGHTSEL |
| Credential | MD |
| Practice Address |
912 N Henrietta St Effingham IL 62401-1788 |
| Mailing Address |
Po Box 784 Effingham IL 62401-0784 |
| Practice Telephone | 2173423337 |
| Practice Fax Number | 2173473328 |
| Mailing Telephone | 2173423337 |
| Mailing Fax Number | 2173473328 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2017-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-085757 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085757 | 05 |
| Street Address |
912 N HENRIETTA ST |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-1788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273916 | Mary Jo Bierman | Nurse Practitioner | 912 N Henrietta St, Effingham, IL 62401-1788 | 2020-07-31 |
| 1679079966 | Emily L. Kreke | Physician Assistant | 912 N Henrietta St, Effingham, IL 62401-1788 | 2018-04-04 |
| 1396129243 | Abbie Cristine Massengill | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2015-07-09 |
| 1649677063 | Effingham Obstetrics and Gynecology Associates LLC | Clinic/Center | 912 N Henrietta St, Effingham, IL 62401 | 2014-12-01 |
| 1457791964 | Lab One LLC | Clinical Medical Laboratory | 912 N Henrietta St, Effingham, IL 62401-1788 | 2013-06-28 |
| 1477860427 | Carle Health Care Incorporated | Durable Medical Equipment & Medical Supplies | 912 N Henrietta St, Effingham, IL 62401-1788 | 2010-09-10 |
| 1114184959 | Colleen R Nuxoll | Nurse Practitioner | 912 N Henrietta St, Effingham, IL 62401-1788 | 2008-05-20 |
| 1255537197 | Jennifer Helen Dust | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401 | 2007-06-26 |
| 1134251853 | Effingham Obstetrics & Gynecology Associates Sc | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2007-03-09 |
| 1497884134 | Stefani Jane Beverlin | Specialist/Technologist | 912 N Henrietta St, Effingham, IL 62401-1788 | 2007-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396129243 | Abbie Cristine Massengill | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2015-07-09 |
| 1255537197 | Jennifer Helen Dust | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401 | 2007-06-26 |
| 1134251853 | Effingham Obstetrics & Gynecology Associates Sc | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2007-03-09 |
| 1841373156 | Dawn Marie Mcdaid | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2006-10-23 |
| 1952318545 | Mildred S. Nelson | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2006-08-03 |
| 1871589382 | Kelly Hunt Haller | Obstetrics & Gynecology | 912 N Henrietta St, Effingham, IL 62401-1788 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1851910210 | Wayne Richard Burrows | Obstetrics & Gynecology | 1412 S Diamond St, South Jacksonville, IL 62650-3143 | 2020-04-15 |
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1962050971 | Jessica Erin Buesing | Obstetrics & Gynecology | 27790 W Highway 22 Ste 37, Barrington, IL 60010-2396 | 2019-09-03 |
| 1235784760 | Gynecologic Surgery & Menopause Solutions PC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 445, New Lenox, IL 60451-9622 | 2019-08-01 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1164980769 | Hanna Legator | Obstetrics & Gynecology | 1875 Dempster St Ste 300, Park Ridge, IL 60068-1186 | 2019-03-04 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
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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.