Harlan Wichelhaus, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J0727 Issued in TX

Legal business name

HARLAN WICHELHAUS, MD, PA

Practice address

1718 N Amburn Rd
Suite B
Texas City, TX 77591-2490

Phone

(409) 935-1988

Fax

(409) 933-4898

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Harlan P Wichelhaus, M.D.NPI 1649459769

Title

Owner/Physician

Phone

(409) 935-1988

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harlan P Wichelhaus, M.D.

  • Obstetrics & Gynecology Physician
  • Texas City, TX
  • NPI 1649459769
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1992762991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 N AMBURN RD",
            "address_2": "SUITE B",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912490",
            "telephone_number": "409-935-1988",
            "fax_number": "409-933-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 N AMBURN RD",
            "address_2": "SUITE B",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912490",
            "telephone_number": "409-935-1988",
            "fax_number": "409-933-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLAN WICHELHAUS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "WICHELHAUS",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "409-935-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J0727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720807-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0963910-01",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamilton County Hospital District
• Kyle Lloyd Hamilton, M.D.
• Stephanie A Hamilton, FNP
• Hardeman Home Health Care, LLC
• Gerald E Hardeman Jr.
• Bisong Haupt, M.D.
• Keosha Rena Hawkins, PHARMD
• Heavenly Hospice at Home, LLC
• Karen Jane Hebert, RN
• Felisha Shawnte Henderson, APRN, AGPCNP-BC

• Specialist in Texas City, TX
• Providers in Texas City, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.