Doctor Mom'S Wholesome Health, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-0426 Issued in ID

Legal business name

DOCTOR MOM'S WHOLESOME HEALTH, PLLC

Practice address

2410 E 25TH St
Idaho Falls, ID 83404

Phone

(208) 557-0200

Fax

(208) 542-5080

NPI assigned

Nov 22, 2013

Organization subpart

No

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

Authorized official

Name

Laramie L. Wheeler, DO

Title

Owner

Phone

(208) 557-0200

Specialties & licenses 1

Addresses

Other names 1

• Laramie Wheeler, DO Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William R Eder, M.D.

  • General Practice Physician
  • Idaho Falls, ID
  • NPI 1275696734
  NPD (past)
• Jeffrey C Haskell X, MD

  • Family Medicine Physician
  • Arco, ID
  • NPI 1073535506
  NPD (past)
• Camille Cassidy Wareing

  • Clinical Exercise Physiologist
  • Idaho Falls, ID
  • NPI 1790224343
  NPD (past)

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1275963589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047549",
            "telephone_number": "208-557-0200",
            "fax_number": "208-542-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-557-0200",
            "fax_number": "208-542-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834015285",
            "country_code": "US",
            "telephone_number": "208-542-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTOR MOM'S WHOLESOME HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "LARAMIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-557-0200",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laramie Wheeler, DO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laramie Wheeler, DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dixon Dental Center
• Jessica Lynne Dixon, LPC
• Lorin E Dixon, DMD
• Melissa A Dixon, D.D.S.
• Trina Dixon, LMT
• Erika Michelle Doherty, LPC
• Krissyana Doll
• Don H Heaton D C P a
• Megan Donnelly, RD
• Jadonna Dorsey, PHARMD

• Family Medicine Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.