Active NPI
James M Wetter, MD
- Family Medicine Physician
- Monroe, NC
National Provider Identifier
1063447027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23097
- Practice address
- 1106 Reynolds St
Suite 100
Monroe, NC 28112-4375 - Phone
- (704) 289-5443
- Fax
- (704) 283-7655
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 16, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23097 | NC | Primary |
Addresses
Primary practice location
1106 Reynolds St
Suite 100
Monroe, NC 28112-4375
Mailing address
PO Box 601888
Charlotte, NC 28260-1888
Phone (704) 289-5443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8986669 | Medicaid | NC | |
| N23097 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23097 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Family Practice | Family Medicine | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Monroe, NC
- NPI 1073540365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1063447027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601888",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601888",
"telephone_number": "704-289-5443",
"fax_number": "704-283-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 REYNOLDS ST",
"address_2": "SUITE 100",
"city": "MONROE",
"state": "NC",
"postal_code": "281124375",
"telephone_number": "704-289-5443",
"fax_number": "704-283-7655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETTER",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "23097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8986669",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N23097",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.