Fredric R Wheeler, D.O.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

R5P77 Issued in MO

Practice address

2817 MC Clelland Blvd
Suite 350
Joplin, MO 64804-1629

Phone

(417) 782-5522

Fax

(417) 206-9599

NPI assigned

Mar 22, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  NPD (past)
• Pediatric Associates of Southwest Missouri, LLC

  • Pediatric Adolescent Medicine Physician
  • Joplin, MO
  • NPI 1518083435
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669598520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 MC CLELLAND BLVD",
            "address_2": "SUITE 350",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041629",
            "telephone_number": "417-782-5522",
            "fax_number": "417-206-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 MC CLELLAND BLVD",
            "address_2": "SUITE 350",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041629",
            "telephone_number": "417-782-5522",
            "fax_number": "417-206-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "FREDRIC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MO",
            "license": "R5P77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J West, RN, WCC
• Cassey R West
• Shelby Rose West, PA-C
• Laura L Westley
• Danica Rae Westmoreland, DC
• Kevin Michael Whisman, PSY.D.
• Whispering Pines Senior Living L.L.C.
• Adam J White, PA
• Madison Sue White, OD
• Miranda White, SLP

• Pediatric Adolescent Medicine Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Pediatric Adolescent Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.