Individual provider Active NPI

James Wheeler, PA

  • Medical Physician Assistant
  • Westfield, MA
National Provider Identifier
1467545418
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1319 Issued in MA
Practice address
57 Union St
Suite 101
Westfield, MA 01085-2658
Phone
(413) 642-7200
Fax
(413) 562-1821
NPI assigned
Oct 2, 2006
Last updated
May 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1319 MA Primary
Medical Physician Assistant 363AM0700X 002254 CT

Addresses

Primary practice location

57 Union St
Suite 101
Westfield, MA 01085-2658

Mailing address

115 W Silver St
Suite 101
Westfield, MA 01085-3678
Phone (413) 642-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090612000153 CT Practitioner - Physician Assistant 0042255887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Center LLCGroup PAC ID 0840570628, 52 clinicians
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians

Practice addresses (Care Compare)

105 W Rd
Ellington, CT 06029-5700
Phone (860) 454-0678

1226 S Broad St
Wallingford, CT 06492-1715
Phone (860) 650-3848

2165 Dixwell Ave
Hamden, CT 06514-2116
Phone (860) 650-3848

2955 Main St
Suite 430
Glastonbury, CT 06033-1092
Phone (860) 650-3848

370 Middle Tpke W
Manchester, CT 06040-3824
Phone (860) 650-3848

55 Hazard Ave
Enfield, CT 06082-3826
Phone (860) 650-3848

576 Farmington Ave
Bristol, CT 06010-3933
Phone (860) 650-3848

78 Pershing Dr
Derby, CT 06418-1433
Phone (860) 650-3848

900 Main St S
Suite 100
Southbury, CT 06488-4213
Phone (860) 650-3848

920 Wolcott St
Suite 19
Waterbury, CT 06705-1300
Phone (860) 650-3848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002254CTMDProfessional Counselor
2254CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Past Accepting new patients
WRK Ventures, LLC Past Accepting new patients
Westfield Medical Corporation Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1467545418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W SILVER ST",
            "address_2": "SUITE 101",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853678",
            "telephone_number": "413-642-7200",
            "fax_number": "413-562-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 UNION ST",
            "address_2": "SUITE 101",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010852658",
            "telephone_number": "413-642-7200",
            "fax_number": "413-562-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA1319",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "002254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.