Active NPI
Michael Stevens Wheeler, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Rutherfordton, NC
National Provider Identifier
1083748883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 21895
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8986732 | Medicaid | NC |
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 |
|---|---|---|---|
| 21895 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutherford Hospital Inc | 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.
-
- Urology Physician
- Rutherfordton, NC
- NPI 1245574003
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.