Organization Active NPI

Wilson & Wheeler PSC

  • Ophthalmologic Surgery Clinic/Center
  • Pikeville, KY
National Provider Identifier
1588793301
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
WILSON & WHEELER PSC
Practice address
387 Town Mountain Rd
Suite 107
Pikeville, KY 41501-1640
Phone
(606) 437-7355
Fax
(606) 437-9814
NPI assigned
Mar 5, 2007
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Charles Phillip Wheeler, M.D.
Title
Owner
Phone
(606) 437-7355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X KY Primary

Addresses

Primary practice location

387 Town Mountain Rd
Suite 107
Pikeville, KY 41501-1640

Mailing address

387 Town Mountain Rd
Suite 107
Pikeville, KY 41501-1640
Phone (606) 437-7355

Other identifiers 1

IdentifierTypeStateIssuer
64220668MedicaidKY

National Provider Directory

National Provider Directory

Locations

387 Town Mountain Rd
Ste 107
Pikeville, KY 41501
Phone (606) 218-5540

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1588793301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 TOWN MOUNTAIN RD",
            "address_2": "SUITE 107",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011640",
            "telephone_number": "606-437-7355",
            "fax_number": "606-437-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 TOWN MOUNTAIN RD",
            "address_2": "SUITE 107",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011640",
            "telephone_number": "606-437-7355",
            "fax_number": "606-437-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON & WHEELER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-437-7355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64220668",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.