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Deactivated NPI 1790932903 Deactivated / Inactive NPI Male Practitioner

Dr. Sidney F Whaley Jr , MD

Dermatology • Tacoma, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sidney Whaley Jr has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2008
NPI Deactivation Date August 09, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Sidney Whaley Jr, MD was a registered Dermatology practicing in Tacoma, WA. Throughout an active medical career spanning 15 years, Dr. Whaley Jr provided care at the practice location at 1708 E 44TH ST until profile deactivation on 2023-08-09.

Practice Location & Contact Primary Location

Practice Address

1708 E 44th St
Community Health Care

Tacoma, WA 984044611

Telephone 2535974550
Fax 2537221546
Associated Practice Facility / Clinic
🏢 Community Health Care Facility NPI 1861610933

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Tacoma, WA (397 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA 10945

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Marisol Salazar

Physician Assistant - Medical

NPI 1003396953
Joan Pavey , RDH

Dental Hygienist

NPI 1043221211

Registered Dental Hygienist

Leslee Rasmussen- Wiseman , RN

Case Manager/Care Coordinator

NPI 1063726222

Registered Nurse

Farrah Azur , DH

Dental Hygienist

NPI 1063867935
NPI 1083118848

Doctor of Medicine (M.D.)

Dr. Wilfredo Garay , DDS

Dentist - General Practice

NPI 1154330728

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 09, 2023

Record deactivated on August 09, 2023

NPI Profile Active July 08, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2013

Registered at 1708 E 44TH ST, COMMUNITY HEALTH CARE, TACOMA, WA 984044611 (Tel: 2535974550)

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Updated Business Mailing Address July 08, 2013

Registered at 1019 PACIFIC AVE STE 300, COMMUNITY HEALTH CARE, TACOMA, WA 984024488 (Tel: 2537221540)

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Provider Name / Credentials Updated July 08, 2013

Recorded as SIDNEY WHALEY JR, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2013

Dermatology (License #10945 in WA)

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Initial NPI Registration & Enumeration August 20, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790932903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2008
Last Update: July 08, 2013
Deactivation Date: August 09, 2023

Mailing Address

1019 Pacific Ave Ste 300, Community Health Care

Tacoma, WA 984024488

Phone: 2537221540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.