Chad Kennedy Wheeler, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ML20008126 Issued in WA

Practice address

530 S Cowley St
Spokane, WA 99202-1316

Phone

(509) 321-6033

Fax

(509) 232-0003

NPI assigned

Aug 31, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Plastic and Reconstructive Surgery

Education

University of South Florida College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plastic Surgery Northwest PLLCGroup PAC ID 8022105329, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwheeler347004@wm.providencedirect.org
• Direct secure messaging: cwheeler@directaddress.net

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.

• Plastic Surgery Northwest PLLC

  • Plastic Surgery Physician
  • Spokane, WA
  • NPI 1780714139
  Medicare reassignment Care Compare group NPD
• Plastic Surgicentre, Inc

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
  • NPI 1083780662
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Wa

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1932210580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021316",
            "telephone_number": "509-321-6033",
            "fax_number": "509-232-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021316",
            "telephone_number": "509-321-6033",
            "fax_number": "509-232-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CHAD",
        "middle_name": "KENNEDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "ML20008126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwheeler347004@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "820 S McClellan St Ste 118",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Ann Weyand, ARNP
• Jeffery Allen Weyand, MD
• Dorothy Lyn Whalen, DH
• Brittany Wheeler, CDPT
• Caleb Wheeler
• Endia Wheeler
• Megan Ann Wheeler, PHARMD
• Christopher Winslow Wherity
• Jane A Whetzel, ARNP
• Lindsay Whetzel, PA-C

• Surgery Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.