Individual provider Active NPI

Frank Alan Wrestler, M.D.

  • Family Medicine Physician
  • Champaign, IL
National Provider Identifier
1720090707
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0360640461 Issued in IL
Practice address
501 S 6TH St
Champaign, IL 61820-5565
Phone
(217) 355-8880
Fax
(217) 355-8883
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0360640461 IL Primary

Addresses

Primary practice location

501 S 6TH St
Champaign, IL 61820-5565

Mailing address

501 S 6TH St
Champaign, IL 61820-5565
Phone (217) 355-8880

Other identifiers 1

IdentifierTypeStateIssuer
0360640461MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0360640461ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
F.a. Wrestler M.D., LTD PastSince Mar 1, 1998 Accepting new patients

Organizations & group practices 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1720090707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 6TH ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205565",
            "telephone_number": "217-355-8880",
            "fax_number": "217-355-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 6TH ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205565",
            "telephone_number": "217-355-8880",
            "fax_number": "217-355-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRESTLER",
        "first_name": "FRANK",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "0360640461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360640461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.