NPIMap

Organization Active NPI

F.a. Wrestler M.D., LTD

  • Health Maintenance Organization
  • Champaign, IL
National Provider Identifier
1740497833
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
F.A. WRESTLER M.D., LTD
Practice address
501 S 6TH St
Champaign, IL 61820-5565
Phone
(217) 355-8880
Fax
(217) 355-8883
NPI assigned
May 17, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Frank Allen Wrestler, M.D.NPI 1720090707
Title
Owner
Phone
(217) 355-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740497833",
    "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": {
        "organization_name": "F.A. WRESTLER M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WRESTLER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-355-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.