Active NPI
Noel Samuel John Wheeler, MD
- Pulmonary Disease Physician
- Beverly, MA
National Provider Identifier
1407893373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 261560
- Practice address
- 77 Herrick St
Lahey Pulmonary, Beverly
Beverly, MA 01915-2734 - Phone
- (978) 998-4601
- Fax
- (978) 998-4973
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 261560 | MA | Primary |
Addresses
Primary practice location
77 Herrick St
Lahey Pulmonary, Beverly
Beverly, MA 01915-2734
Mailing address
77 Herrick St
Lahey Pulmonary, Beverly
Beverly, MA 01915-2734
Phone (978) 998-4601
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3074414 | Medicaid | NH | |
| 1407893373 | Medicaid | ME | |
| 110101859A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physicians, LLC | Current | Accepting new patients | |
| Core Physicians LLC | Current | Accepting new patients | |
| Medical Associates of Brevard LLC | Past | Accepting new patients |
Locations
3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180
7 Holland Way
#1
Exeter, NH 03833
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Exeter, NH
- NPI 1336330588
-
- Durable Medical Equipment & Medical Supplies
- Raymond, NH
- NPI 1083085724
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1861400103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1407893373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 HERRICK ST",
"address_2": "LAHEY PULMONARY, BEVERLY",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152734",
"telephone_number": "978-998-4601",
"fax_number": "978-998-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 HERRICK ST",
"address_2": "LAHEY PULMONARY, BEVERLY",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152734",
"telephone_number": "978-998-4601",
"fax_number": "978-998-4973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "NOEL",
"middle_name": "SAMUEL JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "261560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3074414",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407893373",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110101859A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.