NPIMap

Individual provider Active NPI

Wayne Blackburn Wheeler, MD

  • Emergency Medicine Physician
  • Portsmouth, OH
National Provider Identifier
1912978743
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35047628 Issued in OH
Practice address
1610 28TH St
Apt 621
Portsmouth, OH 45662-2641
Phone
(740) 353-5044
Fax
(740) 353-7904
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35047628 OH Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 22486 KY
Legal Medicine (M.D./D.O.) Physician 209800000X 35047628 OH
Legal Medicine (M.D./D.O.) Physician 209800000X 22486 KY

Addresses

Primary practice location

1610 28TH St
Apt 621
Portsmouth, OH 45662-2641

Mailing address

1610 28TH St
Apt 621
Portsmouth, OH 45662-2641
Phone (740) 353-5044

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35047628OHMDLegal Medicine (M.D./D.O.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Past Accepting new patients
Ironton Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Somc Medical Care Foundation, Inc. Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1912978743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 28TH ST",
            "address_2": "APT 621",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622641",
            "telephone_number": "740-353-5044",
            "fax_number": "740-353-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 28TH ST",
            "address_2": "APT 621",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622641",
            "telephone_number": "740-353-5044",
            "fax_number": "740-353-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "WAYNE",
        "middle_name": "BLACKBURN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35047628",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "KY",
            "license": "22486",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "35047628",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "KY",
            "license": "22486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.