DR. TY WHISENANT MD, PHD
NPI 1013575547
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Q: What is Ty Whisenant's NPI number?

The NPI number for Ty Whisenant is 1013575547. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Q: What is Ty Whisenant's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ty Whisenant was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2019PECOS Enrolled

3601 4TH ST # MS 9410, LUBBOCK, TX 79430(806) 743-6840 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ty Whisenant Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TY WHISENANT MD, PHD (NPI 1013575547) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013575547

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. TY WHISENANTCredential: MD, PHD

Location Address3601 4TH ST # MS 9410Lubbock, TX 79430-0002

Mailing Address3601 4th St # Ms 9410Lubbock, TX 79430-0002

Phone(806) 743-6840

Sole ProprietorNo

Enumeration DateMay 30, 2019

✔ NPI 1013575547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3601 4TH ST # MS 9410, Lubbock, TX 79430

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ty Whisenant Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMA LINA SHAHBANDAR MD

Internal Medicine