NPIMap

Organization Active NPI

Wheelock Surgical Assist PLLC

  • Surgical Physician Assistant
  • Plano, TX
National Provider Identifier
1396223905
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA11268 Issued in TX
Legal business name
WHEELOCK SURGICAL ASSIST PLLC
Practice address
3104 Rockbrook Dr
Plano, TX 75074-4625
Phone
(562) 846-8191
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Breck Wheelock, PANPI 1174879159
Title
Manager
Phone
(562) 846-8191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X PA11268 TX Primary

Addresses

Primary practice location

3104 Rockbrook Dr
Plano, TX 75074-4625

Mailing address

3104 Rockbrook Dr
Plano, TX 75074-4625
Phone (562) 846-8191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1396223905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 ROCKBROOK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750744625",
            "telephone_number": "562-846-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 ROCKBROOK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750744625",
            "telephone_number": "562-846-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELOCK SURGICAL ASSIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "WHEELOCK",
        "authorized_official_first_name": "BRECK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-846-8191",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA11268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.