Individual provider Active NPI

Robert Wheeler

  • Non-emergency Medical Transport (VAN)
  • Collinsville, IL
National Provider Identifier
1376850156
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
19797LY Issued in IL
Practice address
231 Saint Louis Rd
Collinsville, IL 62234-2431
Phone
(618) 346-1568
Fax
(618) 692-1202
NPI assigned
Sep 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 19797LY IL Primary
Non-emergency Medical Transport (VAN) 343900000X 20303LY IL
Non-emergency Medical Transport (VAN) 343900000X 20346LY IL

Addresses

Primary practice location

231 Saint Louis Rd
Collinsville, IL 62234-2431

Mailing address

231 Saint Louis Rd
Collinsville, IL 62234-2431
Phone (618) 346-1568

Other names 1

  • Riverbend Taxi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19797LYILMDNon-emergency Medical Transport (VAN)
20303LYILMDNon-emergency Medical Transport (VAN)
20346LYILMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1376850156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SAINT LOUIS RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342431",
            "telephone_number": "618-346-1568",
            "fax_number": "618-692-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SAINT LOUIS RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342431",
            "telephone_number": "618-346-1568",
            "fax_number": "618-692-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "19797LY",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "20303LY",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "20346LY",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIVERBEND",
            "last_name": "TAXI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.