MR. CHUCK WHEDON (NPI# 1538151121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538151121 |
Entity Type | Individual |
Full Name | MR. CHUCK WHEDON |
Credential | ATC, CSCS |
Practice Address |
201 Mullica Hill Rd Rowan University Athletic Training Glassboro NJ 08028-1700 |
Practice Telephone | 8568633637 |
Practice Fax Number | 8568633704 |
Mailing Telephone | 8568633637 |
Mailing Fax Number | 8568633704 |
Enumeration Date | 2005-08-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | 25MT00029700 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | ATHLETIC TRAINER | 25MT00029700 | 01 |
Street Address |
201 MULLICA HILL RD ROWAN UNIVERSITY ATHLETIC TRAINING |
City | GLASSBORO |
State | NJ |
Zip Code | 08028-1700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518597186 | Cindy Marie Goodrow | Nurse Practitioner | 201 Mullica Hill Rd, Glassboro, NJ 08028-1700 | 2020-01-22 |
1669935169 | Nicole M Thompson | Specialist/Technologist | 201 Mullica Hill Rd, Glassboro, NJ 08028-1700 | 2019-04-11 |
1073016127 | Helen E Polak | Psychologist | 201 Mullica Hill Rd, Glassboro, NJ 08028-1700 | 2018-03-15 |
1780122424 | Douglas Mann | Prevention Professional | 201 Mullica Hill Rd, Rowan University, Glassboro, NJ 08028-1700 | 2017-02-02 |
1003282153 | Rowan Wellness Center - Family Medicine | Family Medicine | 201 Mullica Hill Rd, Winans Hall, Glassboro, NJ 08028-1700 | 2015-08-12 |
1609242775 | Rowan Wellness Center - Behavioral Health | Psychiatry & Neurology | 201 Mullica Hill Rd, Winans Hall, Glassboro, NJ 08028-1700 | 2015-08-12 |
1700269503 | Rowan University - Dept. of Psychology | Psychologist | 201 Mullica Hill Rd, Robinson Hall, Glassboro, NJ 08028-1700 | 2015-06-30 |
1710385265 | Thomas J. Dinzeo | Psychologist | 201 Mullica Hill Rd, Glassboro, NJ 08028-1700 | 2014-12-16 |
1588074173 | Charmaine M Cirino Thomas | Nurse Practitioner | 201 Mullica Hill Rd, Glassboro, NJ 08028-1700 | 2014-05-05 |
1740528520 | Famcare, Inc | Nurse Practitioner | 201 Mullica Hill Rd, Glassboro, NJ 08028-1700 | 2013-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508320581 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1328 East Boulevard, Glassboro, NJ 08028 | 2019-01-24 |
1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
1639641210 | Seth Frost | Counselor | 2 Delsea Dr S., Glassboro, NJ 08028 | 2018-12-20 |
1083195788 | Strong Tower Social Services, Inc | Clinic/Center | 341 Fish Pond Road, Glassboro, NJ 08028 | 2018-08-22 |
1023506730 | Tri-county Support Coordination LLC | Case Management | 275 E High St, Ste S364, Glassboro, NJ 08028 | 2018-04-27 |
1558872721 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 Reading Street, Apt. #2, Glassboro, NJ 08028 | 2017-10-16 |
1073023545 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 960 North Main Street, Glassboro, NJ 08028 | 2017-10-10 |
1366978645 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 Aura Rd, Glassboro, NJ 08028 | 2017-05-05 |
1831623594 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Potsdam Court, Glassboro, NJ 08028 | 2017-04-19 |
1003340761 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Stoneham Drive, Glassboro, NJ 08028 | 2017-04-19 |
Find all providers in zip 08028 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760014898 | Brianna Parsons | Rehabilitation Practitioner | 64 E 2nd St, Clifton, NJ 07011-1609 | 2020-02-06 |
1427602549 | Excellent Homecare of Nj LLC | Rehabilitation Practitioner | 40 Galesi Dr Ste 5b, Wayne, NJ 07470-4841 | 2019-07-26 |
1467939892 | Caring Touch Therapy, LLC | Rehabilitation Practitioner | 190 South St, Freehold, NJ 07728-2618 | 2018-07-27 |
1972923506 | Isaak Gorelov | Rehabilitation Practitioner | 6 North Corporate Drive, Push To Walk, Riverdale, NJ 07457 | 2014-04-22 |
1518185594 | The Balance Center, PC | Rehabilitation Practitioner | 2067 Klockner Rd, Hamilton, NJ 08690-3414 | 2007-04-23 |
1851478846 | Comprehensive Pain Therapy Center, PC | Rehabilitation Practitioner | 535 Grand Ave Fl 2, Englewood, NJ 07631-4934 | 2006-11-01 |
1093723314 | Chee Gap Kim | Rehabilitation Practitioner | 535 Grand Ave, Second Floor, Englewood, NJ 07631-4934 | 2006-08-03 |
1174539944 | Roger Lee Gully | Rehabilitation Practitioner | 62 Fairmount Ave, Clifton, NJ 07011-3007 | 2006-07-31 |
1447800578 | Rainbow Dreams Support Services, LLC | Rehabilitation Practitioner | 116 Anthony Ave, Toms River, NJ 08753-7175 | 2019-09-20 |
1396301370 | American Home Therapy, LLC | Rehabilitation Practitioner | 80 Creekwood Dr, Bordentown, NJ 08505-4811 | 2019-05-14 |
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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.