Individual provider Active NPI

John Taylor Wheeler, PA-C

  • Surgical Physician Assistant
  • Langhorne, PA
National Provider Identifier
1053371948
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA-002099-L Issued in PA
Practice address
1203 Langhorne Newtown Rd
Suite 138
Langhorne, PA 19047-1209
Phone
(215) 741-3141
Fax
(215) 741-3143
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA-002099-L PA Primary

Addresses

Primary practice location

1203 Langhorne Newtown Rd
Suite 138
Langhorne, PA 19047-1209

Mailing address

1203 Langhorne Newtown Rd
Suite 138
Langhorne, PA 19047-1209
Phone (215) 741-3141

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA-002099-LPAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Orthopedic & Spine Center, PC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1053371948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 138",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471209",
            "telephone_number": "215-741-3141",
            "fax_number": "215-741-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 138",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471209",
            "telephone_number": "215-741-3141",
            "fax_number": "215-741-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JOHN",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA-002099-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.