Provider Demographics
NPI:1578651303
Name:WHIMPLE, PATON G (DO)
Entity Type:Individual
Prefix:DR
First Name:PATON
Middle Name:G
Last Name:WHIMPLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 ERRECART BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8336
Mailing Address - Country:US
Mailing Address - Phone:775-777-1895
Mailing Address - Fax:775-777-1897
Practice Address - Street 1:1995 ERRECART BLVD STE 107
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8336
Practice Address - Country:US
Practice Address - Phone:775-777-1895
Practice Address - Fax:775-777-1897
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1158207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503815Medicaid
NVNV1158OtherBCBS PIN
NVP00145636Medicare PIN
NV39860Medicare PIN
NV100503815Medicaid