Active NPI
Wheaton Orthopaedics, LTD.
- Specialist
- Carol Stream, IL
National Provider Identifier
1215938170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 42001705
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM4157 | Other | IL | RAILROAD MEDICARE PROV NO |
| 2215428 | Other | IL | BLUESHIELD PROVIDER NO |
| 6017960001 | Other | IL | NSC |
| 130944200 | Other | IL | US DEPT LABOR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Naperville, IL
- NPI 1205374717
-
- Registered Nurse
- Carol Stream, IL
- NPI 1033364534
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Carol Stream, IL
- NPI 1023019643
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.