Healthcare Provider Details

I. General information

NPI: 1578926994
Provider Name (Legal Business Name): CASEY STUART WHALE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2016
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 SW 3RD ST
TOPEKA KS
66606-2442
US

IV. Provider business mailing address

2660 SW 3RD ST
TOPEKA KS
66606-2442
US

V. Phone/Fax

Practice location:
  • Phone: 785-270-8880
  • Fax: 785-270-8881
Mailing address:
  • Phone: 785-270-8880
  • Fax: 785-270-8881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number04-46163
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: