DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1215935705

NPI Code Detail

MEDICARE: JERRY WARREN WHETZEL MD

MEDICARE: JERRY WARREN WHETZEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01051865	IN
2	207Q00000X	Family Medicine Physician	01051865A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000308400	OTHER		ANTHEM
2	8659	OTHER		PHP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215935705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRY WARREN WHETZEL MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 W JACKSON ST
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-4307
Country	:	US
Telephone Number	:	765-751-5010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	10/08/2025

Similar Medicare Providers

1306705397 — ASHLEY MCCALL MCLAUGHLIN NP
Practice Location Address:

2901 W JACKSON ST
MUNCIE, IN
47304-4307

Practice Phone: 765-286-3900
Practice Fax:

1588698435 — DOCTOR EMMANUEL SAINTJEAN, LLC
Practice Location Address:

2901 W JACKSON ST
MUNCIE, IN
47304-4307

Practice Phone: 765-751-5010
Practice Fax:

1437183381 — JAN R KORNILOW, M.D., LLC
Practice Location Address:

2901 W JACKSON ST
MUNCIE, IN
47304-4307

Practice Phone: 765-751-5010
Practice Fax:

1689693889 — TROY A ABBOTT MD
Practice Location Address:

2901 W JACKSON ST
MUNCIE, IN
47304-4307

Practice Phone: 765-281-6920
Practice Fax: 765-281-6151

1932120847 — SVETLANA BUCCHINO MD
Practice Location Address:

2901 W JACKSON ST
MUNCIE, IN
47304-4307

Practice Phone: 765-281-6920
Practice Fax: 765-281-6151

1487733770 — MRS. JANILYN L ELSTEN RD
Practice Location Address:

2901 W JACKSON ST
MUNCIE, IN
47304-4307

Practice Phone: 765-751-2636
Practice Fax: 765-751-5197

Directions to “ JERRY WARREN WHETZEL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.