MARY A WHEELER (NPI# 1205809753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205809753 |
| Entity Type | Individual |
| Full Name | MARY A WHEELER |
| Other Name | MARE A WHEELER |
| Credential | PA |
| Practice Address |
1320 Wisconsin Ave Racine WI 53403-1978 |
| Practice Telephone | 2626872222 |
| Practice Fax Number | 2626872495 |
| Mailing Telephone | 2626872222 |
| Mailing Fax Number | 2626872495 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1809 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 704290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114185287 | Mary Sue Wheeler | Registered Nurse | Uah College of Nursing, Nursing Building, Huntsville, AL 35899-0001 | 2008-05-27 |
| 1053436097 | Mary Elizabeth Wheeler | Counselor | 2727 Walsh Ave, Suite 205, Santa Clara, CA 95051-0956 | 2007-03-20 |
| 1376559013 | Mary E Wheeler | Anesthesiology | 3510 N Loop 1604 E Ste 900, San Antonio, TX 78247-2303 | 2006-08-01 |
| 1285666404 | Mary Beth Wheeler | Chiropractor | 226 W 38th St, Scottsbluff, NE 69361 | 2006-07-07 |
| 1548868813 | Mary Helen Wheeler | Technician | 120 2nd Ave, Hinton, WV 25951-2402 | 2020-10-09 |
| 1427665611 | Mary Helen Wheeler | Massage Therapist | 67 N Polk St, Eugene, OR 97402-4108 | 2020-09-30 |
| 1336627520 | Mary Katherine Wheeler | Physician Assistant | 1563 Mission St, San Francisco, CA 94103 | 2018-07-31 |
| 1932658325 | Mary Wheeler | Nurse Practitioner | 12 S 8th St, Yakima, WA 98901-3020 | 2016-09-26 |
| 1700222007 | Mary Blanton Wheeler | Pharmacist | 1000 S Limestone, Lexington, KY 40503-1072 | 2013-05-14 |
| 1326399262 | Mary Kay Wheeler | Occupational Therapist | 11960 Westline Industrial Dr, Suite #201, Saint Louis, MO 63146-3209 | 2012-10-01 |
| Street Address |
1320 WISCONSIN AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501070 | Paul William Springborn | Pharmacist | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2005-07-12 |
| 1790257525 | Tonya Iliah Witherspoon | Counselor | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2018-12-18 |
| 1750872438 | Maria Elena Godines | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403 | 2018-05-29 |
| 1336660398 | Britani Rae May | Physical Therapy Assistant | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2017-06-29 |
| 1285169276 | Lakeisha Woods | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403 | 2017-04-27 |
| 1841738028 | Mary Harris | Occupational Therapy Assistant | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2017-02-07 |
| 1164887774 | Jennifer Gullo | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-12-24 |
| 1386020410 | Elizabeth Louise Retherford | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-07-30 |
| 1518351303 | Elisabeth Steadman | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-03-19 |
| 1104223510 | Nicholas Bruno | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1376686006 | Kelly Schneider | Physician Assistant | 3811 Spring St Ste 301, Racine, WI 53405-1667 | 2007-02-14 |
| 1417064528 | Daniel A Teska | Physician Assistant | 3805b Spring Street, Suite 230, Racine, WI 53405-1640 | 2006-08-24 |
| 1194362160 | Kylie S Nordness | Physician Assistant | 3807 Spring St, Racine, WI 53405-1667 | 2019-12-09 |
| 1275027450 | Leslie Pierce | Physician Assistant | 2333 Northwestern Ave, Racine, WI 53404-2520 | 2018-06-20 |
| 1740595032 | Renate A Villarreal | Physician Assistant | 3801 Spring St, Racine, WI 53405-1667 | 2010-08-11 |
| 1104058528 | Matthew T Czerniak | Physician Assistant | 3801 Spring St, Racine, WI 53405-1667 | 2009-08-18 |
| 1679720312 | Susan J Perez | Physician Assistant | 1244 Wisconsin Ave, Racine, WI 53403-1987 | 2008-08-25 |
| 1396961017 | Andrea K Keeling | Physician Assistant | 3801 Spring St, Racine, WI 53405-1667 | 2007-04-18 |
| 1467526400 | Kirsten J Antonneau | Physician Assistant | 1515 S Greenbay Rd, Racine, WI 53406-4409 | 2006-11-20 |
| Find all providers in RACINE | ||||
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| 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.