Travis Robert Wheeler, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

390200000X Issued in NY

Practice address

391 Myrtle Ave
Department of Vascular Surgery, Mailing Code 157
Albany, NY 12208-3835

Phone

(518) 262-6946

NPI assigned

Apr 4, 2023

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: twheeler30720@albanymed.direct-ci.com

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1396440848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE",
            "address_2": "DEPARTMENT OF VASCULAR SURGERY, MAILING CODE 157",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE",
            "address_2": "DEPARTMENT OF VASCULAR SURGERY, MAILING CODE 157",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083835",
            "telephone_number": "518-262-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "TRAVIS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64850",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John T Whalen, MD
• Michael B Whalen, MD
• Dana Leigh Wheeldon, OT
• Cynthia Lather Wheeler, P.T.
• Julie Wheeler, WHNP-BC
• Caitlin Mary Whelan, OTR/L
• Gillian Rae Whelan, OTA
• Kaitlin Whelan, MS CCC-SLP
• Kelly Henderson Whelan, FNP
• Cortnee Anne Whipple, D.C.

• Student in an Organized Health Care Education/Training Program in Albany, NY
• Providers in Albany, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.