Organization Active NPI

Joe Ellis Wheeler

  • Specialist
  • Fort Worth, TX
National Provider Identifier
1740417831
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D1855 Issued in TX
Legal business name
JOE ELLIS WHEELER
Practice address
1650 W Rosedale St
Suite 305
Fort Worth, TX 76104-7400
Phone
(817) 335-3966
Fax
(817) 335-7926
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Mrs. Kimberly Faye Frenzel
Title
Billing/Collecions Supervisor
Phone
(817) 335-3966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D1855 TX Primary

Addresses

Primary practice location

1650 W Rosedale St
Suite 305
Fort Worth, TX 76104-7400

Mailing address

1650 W Rosedale St
Suite 305
Fort Worth, TX 76104-7400
Phone (817) 335-3966

Other identifiers 1

IdentifierTypeStateIssuer
1154007-01MedicaidTX

Other names 1

  • JOE ELLIS WHEELER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1740417831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "SUITE 305",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-335-3966",
            "fax_number": "817-335-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "SUITE 305",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-335-3966",
            "fax_number": "817-335-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE ELLIS WHEELER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "FRENZEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "BILLING/COLLECIONS SUPERVISOR",
        "authorized_official_telephone_number": "817-335-3966",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D1855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154007-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOE ELLIS WHEELER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.