Active NPI
Joe Ellis Wheeler
- Specialist
- Fort Worth, TX
National Provider Identifier
1740417831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D1855
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154007-01 | Medicaid | TX |
Other names 1
- JOE ELLIS WHEELER
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Fort Worth, TX
- NPI 1730146887
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.