Western Illinois Sports Medicine and Orthopedic Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WESTERN ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC CENTER

Practice address

927 Broadway St Ste 104
Quincy, IL 62301-2728

Phone

(217) 224-8955

Fax

(217) 223-8917

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Dee Wheeler, M.D.NPI 1053328831

Title

President

Phone

(217) 224-8955

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald D. Wheeler, M.D.

  • Orthopaedic Surgery Physician
  • Macomb, IL
  • NPI 1053328831
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558496265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 104",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012728",
            "telephone_number": "217-224-8955",
            "fax_number": "217-223-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 104",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012728",
            "telephone_number": "217-224-8955",
            "fax_number": "217-223-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-224-8955",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Central Illinois Housing Associates, LP
• West Central Illinois Nutrition (Meals Plus for Seniors)
• West Central Pathology Specialists, S.C.
• Carrie Diane West
• Thomas Roy Westerhoff, M. D.
• Reghnald Ann Westhoff, MSN, RN APN
• Erin Marie Whalen, AU.D.
• Kimberly Jo Wheelock, LCSW
• Leah Catherine Whipple, P.T
• Ali Marie Whisenant, PHARM.D.

• Specialist in Quincy, IL
• Providers in Quincy, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.