Anthony Lee Wheeler
Organization Active NPI Family Medicine Physician · Talkeetna, AK
NPI 1114079308 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1114079308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3773 (AK)
- Legal business name
- ANTHONY LEE WHEELER
- Practice address
- 125 First St
Box 1148
Talkeetna, AK 99676 - Phone
- (907) 733-2708
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James Ernest Yates, MD
- Title
- Medical Director
- Phone
- (907) 733-2708
Practitioners 1
-
Anthony Wheeler, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 3773 | AK | Yes |
Addresses
Primary practice location
125 First St
Box 1148
Talkeetna, AK 99676
Mailing address
PO Box 1148
125 First St
Talkeetna, AK 99676-1148
Phone (907) 733-2708
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH 37732 | Medicaid | AK | |
| MD 37732 | Medicaid | AK |
Other names
- Talkeetna Denali Family Medical Clinic LLC
Other providers in Talkeetna, AK
- Shaina Elaine Ahles
- All Aspects Construction
- Arborvitae Integrative Counseling
- Mary Elizabeth Asher
- Sarah L Blanning
- Mariana Bosnjak
- Abigail Jane Bradley
All providers in Talkeetna, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.