DR. MICHAEL J WHALEN


Address: 55 Fruit Street Ell 3, Pediatric Care Unit, Boston, MA 02114-2696
Phone: 6177244380

DR. MICHAEL J WHALEN (NPI# 1902987423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902987423
Entity Type Individual
Full Name DR. MICHAEL J WHALEN
Credential MD
Practice Address 55 Fruit Street Ell 3
Pediatric Care Unit
Boston
MA 02114-2696
Mailing Address Po Box 9142
Mass General Physician Organization
Charlestown
MA 02129-9142
Practice Telephone 6177244380
Practice Fax Number 6177242696
Mailing Telephone 6177240287
Mailing Fax Number 6177262894
Enumeration Date 2006-10-18
Last Update Date 2020-05-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 157539 MA Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
157539 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 3182550 05
MA BCBS MA J19249 01
MA TUFTS HEALTH PLAN 157539 01

Other Providers MICHAEL WHALEN

NPI Name Taxonomy Address Enumeration
1154849628 Michael Joseph Whalen Registered Nurse 7465 W Murray Dr, Cicero, NY 13039-9721 2017-09-06
1033149604 Michael Whalen Chiropractor 1427 N Great Neck Rd, Virginia Beach, VA 23454-1300 2006-07-03
1275074106 Michael Edward Whalen Student in an Organized Health Care Education/Training Program 500 Indiana Ave, Winslow, AZ 86047-2169 2017-03-11
1922470533 Michael Elliot Whalen Physician Assistant 180 Corliss St Ste B, Providence, RI 02904-2602 2015-10-21
1144532144 Michael Patrick Whalen Emergency Medicine 3401 N. Broad Street, Philadelphia, PA 19140 2010-07-07
1164675245 Michael Joseph Whalen Urology 2150 Pennsylvania Ave Nw, Dept of Urology, Gw Mfa Suite 3-417, Washington, DC 20037-3201 2008-11-03
1922142652 Michael Edward Whalen Counselor 3800 Central Ave, St Petersburg, FL 33711-1237 2007-02-16
1558377580 Michael J Whalen Physician Assistant 2725 S 144th St, Suite 212, Omaha, NE 68144-5243 2006-07-31
1386637411 Michael B Whalen Ophthalmology 1375 Washington Ave, Suite 227, Albany, NY 12206 2005-08-24

Office Location

Street Address 55 FRUIT STREET ELL 3
PEDIATRIC CARE UNIT
City BOSTON
State MA
Zip Code 02114-2696

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457310393 Daniel Solomon Kohane Anesthesiology 55 Fruit Street Ell 3, Pediatric Critical Care Unit, Boston, MA 02114-2696 2006-03-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
Find all providers in zip 02114

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326699935 Colin Meyer-macaulay Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2019-09-25
1902303480 Haley Devries Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2018-04-10
1194272013 Cheuk Chung Au Pediatrics 300 Longwood Ave, Bader 634, Boston, MA 02115-5724 2016-09-08
1215378435 Peta-maree Ann Alexander Pediatrics Boston Children's Hospital, 300 Longwood Avenue, Cardiology Department, Boston, MA 02115 2013-07-16
1013352277 Sarah Elyse Hendrickson Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2013-05-01
1841556305 Jane Whitney Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2012-04-09
1891061768 Jennifer Ann Blumenthal Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2012-03-26
1679848782 Daniel Hames Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2012-03-22
1912297045 Ben D Albert Pediatrics 300 Longwood Ave, Bader 634 - Critical Care Medicine, Boston, MA 02115-5724 2011-04-11
1033408513 Mark David Dexter Pediatrics 800 Washington St, Boston, MA 02111-1552 2011-04-05
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02114

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Dataset Information

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.

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