Organization Active NPI

Pain and Orthopedic Neurology, PA

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Charlotte, NC
National Provider Identifier
1083631824
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
28819 Issued in NC
Legal business name
PAIN AND ORTHOPEDIC NEUROLOGY, PA
Practice address
3711 Latrobe Dr Ste 530
Charlotte, NC 28211-1664
Phone
(704) 365-0966
Fax
(704) 362-3691
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Anthony Hallock Wheeler, M.D.NPI 1487610713
Title
President
Phone
(704) 365-0966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X 28819 NC Primary

Addresses

Primary practice location

3711 Latrobe Dr Ste 530
Charlotte, NC 28211-1664

Mailing address

3711 Latrobe Dr Ste 530
Charlotte, NC 28211-1664
Phone (704) 365-0966

National Provider Directory

National Provider Directory

Locations

3711 Latrobe Dr
Ste 530
Charlotte, NC 28211
Phone (704) 333-8410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1083631824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 LATROBE DR STE 530",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111664",
            "telephone_number": "704-365-0966",
            "fax_number": "704-362-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 LATROBE DR STE 530",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111664",
            "telephone_number": "704-365-0966",
            "fax_number": "704-362-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND ORTHOPEDIC NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "HALLOCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-365-0966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NC",
            "license": "28819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.