THERESA M WHALEN PAC
NPI 1831218734
Physician Assistant - Surgical in Pontiac, MI

Active since March 29, 2007PECOS Enrolled
44405 WOODWARD, PONTIAC, MI 48431(248) 858-3000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa M Whalen Pac NPPES

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

THERESA M WHALEN PAC (NPI 1831218734) is an individual surgical provider in Pontiac, Michigan, licensed in Michigan (5601002763) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831218734
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTHERESA M WHALENCredential: PAC
Location Address44405 WOODWARDPontiac, MI 48431
Mailing Address38840 Equestrian S, #48102Farmington Hills, MI 48331-4930 · (734) 652-0808
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1831218734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MI · 5601002763
44405 WOODWARD, Pontiac, MI 48431

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Theresa M Whalen Pac 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Whalen's NPI number?

The NPI number for Theresa Whalen is 1831218734. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Theresa Whalen located?

Theresa Whalen practices at 44405 Woodward, Pontiac, MI 48431. The listed phone number is (248) 858-3000.

What is Theresa Whalen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Theresa Whalen enrolled in Medicare?

Yes. Theresa Whalen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Whalen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.