William Walter Wheeler, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M-11617 Issued in ID

Practice address

229 S. 7TH Street
St. Maries, ID 83861

Phone

(208) 245-5551

Fax

(208) 245-5246

NPI assigned

Dec 5, 2005

Last updated

Feb 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1205810025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 S. 7TH STREET",
            "city": "ST. MARIES",
            "state": "ID",
            "postal_code": "83861",
            "telephone_number": "208-245-5551",
            "fax_number": "208-245-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S. 7TH STREET",
            "city": "ST. MARIES",
            "state": "ID",
            "postal_code": "83861",
            "telephone_number": "208-245-5551",
            "fax_number": "208-245-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "WILLIAM",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00047560",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "33639",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M-11617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES CRIME VICTIM",
            "identifier": "8943921",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Warnick, DMD
• Amber West
• Daniel Cooper Wester, MD
• David H. Wetterlin, P.T.
• Lynne Karen Wetterlin, OT
• Jessica Haley Zizzi, MOTR/L

• Surgery Physician in St Maries, ID
• Providers in St Maries, ID by specialty
• Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.