Active NPI
Maynard B Wheeler, MD
- Ophthalmology Physician
- Concord, NH
National Provider Identifier
1033110523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 11342
- Practice address
- 248 Pleasant Street
Suite 1600
Concord, NH 03301-2588 - Phone
- (603) 224-2020
- Fax
- (603) 228-0248
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 11342 | NH | Primary |
Addresses
Primary practice location
248 Pleasant Street
Suite 1600
Concord, NH 03301-2588
Mailing address
248 Pleasant Street
Suite 1600
Concord, NH 03301-2588
Phone (603) 224-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30201794 | Medicaid | NH | |
| 330443 | Other | NH | CIGNA |
| 01Y003547NH01 | Other | NH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Eye Care PC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Farmington, CT
- NPI 1558473181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1033110523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 PLEASANT STREET",
"address_2": "SUITE 1600",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012588",
"telephone_number": "603-224-2020",
"fax_number": "603-228-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 PLEASANT STREET",
"address_2": "SUITE 1600",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012588",
"telephone_number": "603-224-2020",
"fax_number": "603-228-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "MAYNARD",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NH",
"license": "11342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30201794",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "330443",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "01Y003547NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.