Active NPI
Paul Edward Wheeler, M.D.
- Family Medicine Physician
- Boise City, OK
National Provider Identifier
1952540403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17806
- Practice address
- PO Box 1059
Boise City, OK 73933-1059 - Phone
- (580) 517-1057
- Fax
- (888) 651-9957
- NPI assigned
- Feb 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17806 | OK | Primary |
Addresses
Primary practice location
PO Box 1059
Boise City, OK 73933-1059
Mailing address
PO Box 1059
Boise City, OK 73933-1059
Phone (580) 544-2501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101025000575 | OK | Practitioner - Family Practice | 8820281652 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Ellis
Boise City, OK 73933-1059
102 S Ellis
Boise City, OK 73933-1059
Phone 5805442501128
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.99 of 100
- Quality
- 63.82
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17806 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cimarron Memorial Hospital and Nursing Home | Current | Accepting new patients | |
| Memorial Hospital of Texas County Authority | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Boise City, OK
- NPI 1073584819
-
- Critical Access Hospital
- Guymon, OK
- NPI 1144205360
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Boise City, OK
- NPI 1073584819
-
- Medicare Defined Swing Bed Hospital Unit
- Boise City, OK
- NPI 1396715926
-
- Critical Access Hospital
- Guymon, OK
- NPI 1144205360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1952540403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1059",
"city": "BOISE CITY",
"state": "OK",
"postal_code": "739331059",
"telephone_number": "580-544-2501",
"fax_number": "580-227-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1059",
"city": "BOISE CITY",
"state": "OK",
"postal_code": "739331059",
"telephone_number": "580-517-1057",
"fax_number": "888-651-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "PAUL",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-06",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "17806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.