Organization Active NPI

Wheaton Orthopaedics, LTD.

  • Specialist
  • Carol Stream, IL
National Provider Identifier
1215938170
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
42001705 Issued in IL
Legal business name
WHEATON ORTHOPAEDICS, LTD.
Practice address
327 Gundersen Dr
Ste a
Carol Stream, IL 60188-2402
Phone
(630) 665-9155
Fax
(630) 665-5557
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Mrs. Mamie T. Martin
Title
Business Office Manager
Phone
(630) 665-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 42001705 IL Primary

Addresses

Primary practice location

327 Gundersen Dr
Ste a
Carol Stream, IL 60188-2402

Mailing address

327 Gundersen Dr
Ste a
Carol Stream, IL 60188-2402
Phone (630) 665-9155

Other identifiers 4

IdentifierTypeStateIssuer
CM4157OtherILRAILROAD MEDICARE PROV NO
2215428OtherILBLUESHIELD PROVIDER NO
6017960001OtherILNSC
130944200OtherILUS DEPT LABOR

National Provider Directory

National Provider Directory

Locations

1971 Gowdey Rd
Ste 207
Naperville, IL 60563
Phone (630) 355-2702

636 Raymond Dr
Ste 104
Naperville, IL 60563
Phone (630) 355-2702

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1215938170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 GUNDERSEN DR",
            "address_2": "STE A",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882402",
            "telephone_number": "630-665-9155",
            "fax_number": "630-665-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 GUNDERSEN DR",
            "address_2": "STE A",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882402",
            "telephone_number": "630-665-9155",
            "fax_number": "630-665-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON ORTHOPAEDICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MAMIE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "630-665-9155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "42001705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV NO",
            "identifier": "CM4157",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD PROVIDER NO",
            "identifier": "2215428",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "6017960001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR",
            "identifier": "130944200",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.