DR. MARK J. WHALEN (NPI# 1891795498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891795498 |
| Entity Type | Individual |
| Full Name | DR. MARK J. WHALEN |
| Credential | M.D. |
| Practice Address |
2525 Court Dr Gastonia NC 28054-2140 |
| Mailing Address |
4007 Wild Nursery Ct Charlotte NC 28215-5345 |
| Practice Telephone | 7048342851 |
| Practice Fax Number | 7048342815 |
| Mailing Telephone | 7046167387 |
| Mailing Fax Number | 7048342815 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2012-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
95-01148 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124254834 | Mark D Whalen | Acupuncturist | 66 Elmwood St, Somerville, MA 02144-2440 | 2009-06-09 |
| 1679676084 | Mark Edward Whalen | Dentist | 10945 South Street, Suite 105a, Cerritos, CA 90703 | 2006-09-07 |
| Street Address |
2525 COURT DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664098 | Philip George Leone | Specialist | 2525 Court Dr, Gastonia, NC 28054-2140 | 2005-07-26 |
| 1124657564 | Jessica Underwood | Registered Nurse | 2525 Court Dr, Gastonia, NC 28054-2140 | 2020-04-07 |
| 1376182055 | Haley Noelle Devoe | Nurse Anesthetist, Certified Registered | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-12-30 |
| 1376182261 | Nicole Ruth Ann Bolt | Nurse Anesthetist, Certified Registered | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-12-26 |
| 1902441082 | Brennan Yett | Registered Nurse | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-11-12 |
| 1427692227 | Kara P Wilson | Nurse Anesthetist, Certified Registered | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-11-05 |
| 1568013233 | Rebecca Tooley Woodring | Physical Therapist | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-09-24 |
| 1730734989 | Rachel Carnicelli | Physician Assistant | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-08-05 |
| 1477113090 | Mckenzie Bolin Phillips | Nurse Practitioner | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-06-17 |
| 1528623840 | David Salter | Emergency Medicine | 2525 Court Dr, Gastonia, NC 28054-2140 | 2019-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548668338 | Cheryl Levine | Pathology | 1740 Montclair Ave, Gastonia, NC 28054-4848 | 2014-12-11 |
| 1801277355 | Jeffrey Ahlstedt | Pathology | 2525 Court Dr, Gastonia, NC 28054-2140 | 2015-06-10 |
| 1831370279 | Brian J. Sutton | Pathology | 2525 Court Dr, Gastonia, NC 28054-2140 | 2007-11-14 |
| 1194726612 | Peter H Wittenberg | Pathology | 2525 Court Dr, Gastonia, NC 28054-2140 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484965 | Azad Bakht | Pathology | Medical Center Boulevard Department of Pathology, Winston Salem, NC 27157-0001 | 2020-07-10 |
| 1316401375 | Celligent Diagnostics, LLC | Pathology | 101 E W T Harris Blvd Ste 1212, Charlotte, NC 28262-3423 | 2019-01-24 |
| 1487170387 | Coastal Carolina Pathology, Pa | Pathology | 2606 Iron Gate Dr Ste 201, Wilmington, NC 28412-2494 | 2017-08-22 |
| 1134651748 | Elsa Mondou | Pathology | 6008 Bunchberry Ct, Raleigh, NC 27616-5454 | 2017-04-02 |
| 1578910006 | Jennifer Michelle Crimmins | Pathology | Dumc 3712, Durham, NC 27710-4220 | 2016-05-13 |
| 1407237811 | Cori Breslauer | Pathology | Pathology and Lab Medicine, Bbb Cb 7525, Chapel Hill, NC 27599-7525 | 2015-06-11 |
| 1396005369 | Bart B Singer | Pathology | Unc Pathology Cb 7525 Brinkhous-bullitt Building, Chapel Hill, NC 27599-7525 | 2012-05-23 |
| 1750670279 | Nathan Samuel Cuka | Pathology | 3333 Silas Creek Pkwy Fl 1, Winston Salem, NC 27103-3013 | 2011-04-05 |
| 1669790994 | Sara Elizabeth Wobker | Pathology | 303 Brinkhouse Bullitt Bldg, Department of Pathology, Cb# 7525, Chapel Hill, NC 27599-7525 | 2010-05-11 |
| 1053545533 | Siobhan M O'connor | Pathology | Womens and Childrens Hospitals Clb # 7525, 101 Manning Drive, Chapel Hill, NC 27599-7525 | 2009-05-12 |
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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.