Individual provider Active NPI

Myra A Wheaton, M.D. , M.P.H.

  • Anesthesiology Physician
  • Jackson, MS
National Provider Identifier
1902972235
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
17023 Issued in MS
Practice address
1730 Bellewood Rd
Jackson, MS 39211-5701
Phone
(601) 940-9785
Fax
(601) 366-2698
NPI assigned
Nov 28, 2006
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 17023 MS Primary

Addresses

Primary practice location

1730 Bellewood Rd
Jackson, MS 39211-5701

Mailing address

1730 Bellewood Rd
Jackson, MS 39211-5701
Phone (601) 940-9785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000802 MS Practitioner - Family PracticePractitioner - Emergency Medicine 6103903273 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mississippi Health Services, Inc CurrentSince Oct 28, 2014 Accepting new patients
Claiborne County Hospital CurrentSince Nov 1, 2014 Accepting new patients
Central Mississippi Health Services, Inc CurrentSince Oct 28, 2014 Accepting new patients
Alliance Healthcare System, Inc Anesthesiology Past Accepting new patients
University Anesthesia Services, PLLC Anesthesiology Past Accepting new patients

Locations

1134 Winter St
Jackson, MS 39204
Phone (601) 948-5572

5429 Robinson Road Ext
Jackson, MS 39204
Phone (601) 914-0163

123 McComb Ave
Port Gibson, MS 39150
Phone (601) 437-5141

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/allihcs-9d312177
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1902972235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BELLEWOOD RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115701",
            "telephone_number": "601-940-9785",
            "fax_number": "601-366-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 BELLEWOOD RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115701",
            "telephone_number": "601-940-9785",
            "fax_number": "601-366-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATON",
        "first_name": "MYRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D. , M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "17023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.