Wheaton Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

23312 Issued in SC

Legal business name

WHEATON PEDIATRICS LLC

Practice address

354 Folly Rd
Suite #5
Charleston, SC 29412-2594

Phone

(843) 437-2545

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael John Wheaton, MDNPI 1871588632

Title

Owner

Phone

(843) 437-2545

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Michael J Wheaton, MD

  • Pediatrics Physician
  • Nampa, ID
  • NPI 1871588632
  NPD Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1316996523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 E BRIMLEY DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836874119",
            "telephone_number": "843-437-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 FOLLY RD",
            "address_2": "SUITE #5",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122594",
            "telephone_number": "843-437-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "WHEATON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-437-2545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "23312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4277",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Whalen
• Karen G Whaley-Smalls
• Brittany Morgan Whaley
• John M Wharton, MD
• Sarah Kalani Wharton, DC
• Kimberly Brooke Wheaton, D.C.
• Helen E Wheeler, MED, LPC
• Mary Hannah Wheeler, OD
• Christopher Allan Wheelock, RN
• Meghan M Whelan, BCBA

• Pediatrics Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.