Stephen Michael Wheeler, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

3828 Tyburn Dr
Beale AFB, CA 95903-2254

Phone

(605) 499-9313

NPI assigned

Apr 5, 2013

Last updated

Apr 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1851634026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 TYBURN DR",
            "city": "BEALE AFB",
            "state": "CA",
            "postal_code": "959032254",
            "telephone_number": "605-499-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 TYBURN DR",
            "city": "BEALE AFB",
            "state": "CA",
            "postal_code": "959032254",
            "telephone_number": "605-499-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D Vu, M.D.
• Zachary Wajvoda, PA-C
• Wesley Wander, D.O.
• Kelly Neil West, M.D.
• Eric J. Westergard, DDS
• David Whitehorn
• Jerrica Marie Wild
• Erika Woodson, D.D.S
• Lauren Worden-Baroni

• Independent Duty Medical Technicians in Beale AFB, CA
• Providers in Beale AFB, CA by specialty
• Independent Duty Medical Technicians in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.