Individual provider Active NPI

Theresa A Wheeling, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Meadville, PA
National Provider Identifier
1457358244
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD052438L Issued in PA
Practice address
11277 Vernon Place
Suite 200
Meadville, PA 16335-3717
Phone
(814) 724-1252
Fax
(814) 337-6043
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD052438L PA Primary

Addresses

Primary practice location

11277 Vernon Place
Suite 200
Meadville, PA 16335-3717

Mailing address

11277 Vernon Place
Suite 200
Meadville, PA 16335-3717
Phone (814) 724-1252

Other identifiers 1

IdentifierTypeStateIssuer
0015803900004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000384 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 8426956327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates of Meadville, P.C.Group PAC ID 0446151864, 17 clinicians

Practice addresses (Care Compare)

11277 Vernon PL
Suite 200
Meadville, PA 16335-3719
Phone (814) 724-1252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Meadville, P.C. CurrentSince Oct 1, 2013 Accepting new patients
Regional Health Services Inc Past Accepting new patients
Tristate Neurological Surgeons, P.C. PastSince Sep 20, 1990 Accepting new patients

Locations

11277 Vernon Pl
Ste 200
Meadville, PA 16335
Phone (814) 373-2230

Interoperability endpoints

  • Direct secure messaging: taw@oamed1435.srs-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1457358244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11277 VERNON PLACE",
            "address_2": "SUITE 200",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353717",
            "telephone_number": "814-724-1252",
            "fax_number": "814-337-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11277 VERNON PLACE",
            "address_2": "SUITE 200",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353717",
            "telephone_number": "814-724-1252",
            "fax_number": "814-337-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELING",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD052438L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015803900004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.