Provider Demographics
NPI:1447274964
Name:WESTMORELAND, CHERYL L (MD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:L
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2600 W WHITE RIVER BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-9906
Mailing Address - Country:US
Mailing Address - Phone:765-254-5602
Mailing Address - Fax:765-254-5603
Practice Address - Street 1:2600 W WHITE RIVER BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-9906
Practice Address - Country:US
Practice Address - Phone:765-254-5602
Practice Address - Fax:765-254-5603
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01043110A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200148870Medicaid
IN200148870Medicaid
F21926Medicare UPIN
219940AMedicare ID - Type Unspecified