Individual provider Active NPI

Michael Stevens Wheeler, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rutherfordton, NC
National Provider Identifier
1083748883
Registry record updated Oct 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
21895 Issued in NC
Practice address
288 S Ridgecrest Ave
Laboratory, Rutherford Hospital
Rutherfordton, NC 28139-2838
Phone
(828) 429-1009
Fax
(828) 286-5658
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 21895 NC Primary

Addresses

Primary practice location

288 S Ridgecrest Ave
Laboratory, Rutherford Hospital
Rutherfordton, NC 28139-2838

Mailing address

301 Country Woods Dr
Rutherfordton, NC 28139-9795
Phone (828) 429-1009

Other identifiers 1

IdentifierTypeStateIssuer
8986732MedicaidNC

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

LicenseStateTypeSpecialty
21895NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutherford Hospital Inc PastSince Jan 1, 2011 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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476576000000",
    "number": "1083748883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 COUNTRY WOODS DR",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281399795",
            "telephone_number": "828-429-1009",
            "fax_number": "828-286-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S RIDGECREST AVE",
            "address_2": "LABORATORY, RUTHERFORD HOSPITAL",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392838",
            "telephone_number": "828-429-1009",
            "fax_number": "828-286-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MICHAEL",
        "middle_name": "STEVENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "21895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8986732",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; 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.