MS. MISTY D WHEELOCK (NPI# 1073700217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073700217 |
| Entity Type | Individual |
| Full Name | MS. MISTY D WHEELOCK |
| Credential | ANPP |
| Practice Address |
845 N New Ballas Ct Suite 200 Saint Louis MO 63141-7134 |
| Mailing Address |
12639 Old Tesson Rd Suite 115 Saint Louis MO 63128-2786 |
| Practice Telephone | 3149834700 |
| Practice Fax Number | 3146929862 |
| Mailing Telephone | 3148490311 |
| Mailing Fax Number | 3148494423 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 142467 | MO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
142467 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
845 N NEW BALLAS CT SUITE 200 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467997536 | Ashley Tusevljak | Nurse Practitioner | 845 N New Ballas Ct, Unit 360, Saint Louis, MO 63141-7134 | 2016-12-28 |
| 1811218969 | Megan Maupin Burgess | Physical Therapist | 845 N New Ballas Ct, Suite 40, Saint Louis, MO 63141-7134 | 2010-06-11 |
| 1851621460 | Tyler Randall Krummenacher | Orthopaedic Surgery | 845 N New Ballas Ct, Suite 200, Saint Louis, MO 63141-7134 | 2010-01-04 |
| 1689810624 | Angela Marie Berkbuegler | Physical Therapy Assistant | 845 N New Ballas Ct, Suite 40, Saint Louis, MO 63141-7134 | 2008-12-22 |
| 1346400561 | Elizabeth Erker | Dietitian, Registered | 845 N New Ballas Ct, 2nd Floor, Saint Louis, MO 63141-7134 | 2008-06-11 |
| 1861662272 | Patricia A Mcguire | Surgery | 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141-7134 | 2008-03-03 |
| 1477723799 | Charles Robert Nathan | Surgery | 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141-7134 | 2008-03-03 |
| 1679752927 | Nancy Pevnick | Physical Therapy Assistant | 845 N New Ballas Ct, Suite 40, Saint Louis, MO 63141-7134 | 2007-11-02 |
| 1386838613 | Todd R Tiepelman | Physical Therapy Assistant | 845 N New Ballas Ct, Suite 40, Saint Louis, MO 63141-7134 | 2007-08-29 |
| 1811181308 | Colleen Elizabeth Glisson | Orthopaedic Surgery | 845 N New Ballas Ct, Suite 200, Saint Louis, MO 63141-7134 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1467059972 | Anissa Rasul | Nurse Practitioner | 10631 Thayer Dr, Saint Louis, MO 63123-6018 | 2020-10-07 |
| 1124635388 | Brittney Sherrell Burks | Nurse Practitioner | 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 | 2020-09-30 |
| 1629684865 | Nicole Burdge | Nurse Practitioner | 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 | 2020-09-22 |
| 1932724614 | Oluwatoyin Olufunke Adegboyega | Nurse Practitioner | 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 | 2020-06-09 |
| 1497376487 | Jessica A Spring | Nurse Practitioner | 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 | 2020-04-30 |
| 1932728466 | Lucy Wachuka Kamau | Nurse Practitioner | 4412 Clarence Ave, Saint Louis, MO 63115-3108 | 2020-04-14 |
| 1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on MS. MISTY D WHEELOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.