Janet L Whaley (NPI# 1134118383, PAC ID# 4183691892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1134118383 |
PAC ID by PECOS | 4183691892 |
Professional Enrollment ID | I20080201000319 |
Full Name | Janet L Whaley |
Organization Legal Name | EASTSIDE HEART AND VASCULAR, LLC |
Address |
3435 Hwy 81 Suite 200 Loganville GA 30052-9138 |
Phone Number | 7707366300 |
Gender | F |
Credential | NP |
Graduation Year | 1997 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1850659376 |
Number of Group Practice Members | 19 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110192 | EASTSIDE MEDICAL CENTER |
110087 | GWINNETT MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3435 Hwy 81, Suite 200, Loganville, GA 30052-9138 | 7707366300 | EASTSIDE HEART AND VASCULAR, LLC |
Organization Legal Name | EASTSIDE HEART AND VASCULAR, LLC |
Physicians | 18 |
Name | Specialty | Organization | Address |
---|---|---|---|
Demir Baykal | Cardiovascular Disease (cardiology) | Eastside Heart and Vascular, LLC | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8765 |
Michael A Lipsitt | Cardiovascular Disease (cardiology) | Eastside Heart and Vascular, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
Berhanu E Kededa | Nurse Practitioner | Eastside Heart and Vascular, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
Halima Mayow Mohamed | Nurse Practitioner | Eastside Heart and Vascular, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
Marc I Unterman | Cardiovascular Disease (cardiology) | Eastside Heart and Vascular, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
Marcus Sims | Cardiovascular Disease (cardiology) | Eastside Heart and Vascular, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
David B Casey | Interventional Cardiology | Eastside Heart and Vascular, LLC | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8765 |
Angel Brown Boulware | Nurse Practitioner | Eastside Heart and Vascular, LLC | 1700 Tree Ln, Suite 190, Snellville, GA 30078-6766 |
Chinwe C Ibiam | Nurse Practitioner | Eastside Heart and Vascular, LLC | 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8765 |
Claudette Anika Bryant | Physician Assistant | Eastside Heart and Vascular, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
Street Address |
3435 HWY 81 SUITE 200 |
City | LOGANVILLE |
State | GA |
Zip | 30052-9138 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth Z Mikrut | Internal Medicine | 902 Athens Hwy, Loganville, GA 30052 | |
Germaine D Cummings | Family Medicine | 4480 Atlanta Hwy, Loganville, GA 30052 | |
Harrison C Ojimma | Certified Registered Nurse Anesthetist (crna) | 367 Athens Hwy 100, Loganville, GA 30052-2207 | |
Angelina Postoev | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
Christopher Alade Ibikunle | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
Angel F Farinas | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
Christian X Cruz Pico | General Surgery | Georgia Surgicare | 367 Athens Hwy, Loganville, GA 30052-2207 |
Jean Cadet | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
Kenyatta Merriweather | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
Mandy Michelle Miller | Clinical Social Worker | 125 Lee Byrd Rd, Loganville, GA 30052-2310 | |
Find all physicians in zip 30052 |
City | LOGANVILLE |
Zip Code | 30052 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LOGANVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Janet L Whaley.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.