Molly Anna Wheeler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005475 Issued in MI

Practice address

2122 Health Dr SW Ste 133
Wyoming, MI 49519-9698

Phone

(616) 252-5950

Fax

(616) 252-5956

NPI assigned

Apr 22, 2009

Last updated

Sep 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Molly Anna Downing Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metropolitan Hospital

  dba Metro Health - University of Michigan Health

  • Cardiac Rehabilitation Clinic/Center
  • Wyoming, MI
  • NPI 1548731672
  NPD (past)
• West Michigan Cardiology, PC

  dba West Michigan Cardiology

  • Specialist
  • Grand Rapids, MI
  • NPI 1780770859
  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1336383280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983303",
            "telephone_number": "920-262-4449",
            "fax_number": "920-262-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 HEALTH DR SW STE 133",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199698",
            "telephone_number": "616-252-5950",
            "fax_number": "616-252-5956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Byron Center Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495199606",
            "country_code": "US",
            "telephone_number": "616-241-2333",
            "fax_number": "616-452-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MOLLY",
        "middle_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5601005475",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BOARD OF MEDICINE",
            "identifier": "5601005475",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "DOWNING",
            "middle_name": "ANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• West Michigan Surgical Specialists PLC
• West Michigan Vision Specialists
• Rita Dawn Westrate
• Ethan D Wheeler
• Luanne Wheeler, TEACHING
• Kathy Jean White, RPH
• Ross Whitman, MA, LLPC
• Ashley Widner, MA, TMLP
• Oskar Amadeusz Wielgus, MD
• Erika Wigent

• Physician Assistant in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.