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MATTHEW D WHEALON MD NPI 1902163710


NPI Information

NPI: 1902163710
Provider Name: MATTHEW D WHEALON, MD
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
400 N. PEPPER AVE.
MOB SUITE 308
COLTON, CA
ZIP 92324
Phone: (909) 580-3353
Get Directions

Matthew D Whealon, MD is a colon rectal surgery in Colton, CA with 12 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Matthew D Whealon, MD NPI is 1902163710. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

400 N. PEPPER AVE.
MOB SUITE 308
COLTON, CA
ZIP 92324-801
Phone: (909) 580-3353
Fax: (909) 580-1363

The NPI 1902163710 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 3/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryA128935CALIFORNIANo
2208C00000XColon & Rectal SurgeryMT216910PENNSYLVANIANo
3208C00000XColon & Rectal SurgeryMD464833PENNSYLVANIANo
4208C00000XColon & Rectal SurgeryA128935CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.