Active NPI
Patricia Wheeler, P.A.
- Physician Assistant
- Dansville, NY
National Provider Identifier
1750350278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002095
- Practice address
- 22 Red Jacket St
Dansville, NY 14437-9502 - Phone
- (585) 335-5200
- Fax
- (585) 335-5037
- NPI assigned
- Mar 16, 2006
- Last updated
- Dec 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002095 | NY | Primary |
Addresses
Primary practice location
22 Red Jacket St
Dansville, NY 14437-9502
Mailing address
PO Box 499
22 Red Jacket Street
Dansville, NY 14437-0499
Phone (585) 335-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01270593 | Medicaid | NY |
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002095 | NY | MD | Midwife |
Interoperability endpoints
- patricia.wheeler@sbpeds.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1750350278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 499",
"address_2": "22 RED JACKET STREET",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144370499",
"telephone_number": "585-335-5200",
"fax_number": "585-335-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 RED JACKET ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379502",
"telephone_number": "585-335-5200",
"fax_number": "585-335-5037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "PATRICIA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01270593",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.