SHANE C WHEELER (NPI# 1366609653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366609653 |
| Entity Type | Individual |
| Full Name | SHANE C WHEELER |
| Credential | MD |
| Practice Address |
10700 E Geddes Ave 200 Englewood CO 80112-3800 |
| Practice Telephone | 3037619190 |
| Practice Fax Number | 7208744462 |
| Mailing Telephone | 3037619190 |
| Mailing Fax Number | 7208744462 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2017-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD17494 | HI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
04-36301 | KS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25107 | NE | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
46616 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200602140A | 05 | |
| NM | 95452761 | 05 | |
| NV | 1366609653 | 05 | |
| NE | 10025709000 | 05 | |
| CA | 1366609653 | 05 | |
| UT | 1679513196 | 05 | |
| TX | 204734201 | 05 | |
| NE | 84059792913 | 05 | |
| IA | 1366609653 | 05 | |
| UT | 1366609653 | 05 | |
| CO | 53577710 | 05 | |
| WY | 1366609653 | 05 | |
| OK | 200424590A | 05 | |
| KY | 7100096790 | 05 | |
| MT | 1366609653 | 05 | |
| SD | 1366609653 | 05 | |
| AZ | 621053 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145625 | Shane Scott Wheeler | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-12-17 |
| Street Address |
10700 E GEDDES AVE 200 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80112-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922083401 | Phillip Gunther | Radiology | 10700 E Geddes Ave, Ste 200, Englewood, CO 80112-3800 | 2005-12-07 |
| 1376992818 | Terri A Schaber | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2016-06-06 |
| 1720485725 | Patricia Roeber Petrosky | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2014-11-19 |
| 1871914721 | Rocky Mountain Medical Group P.C. | Preventive Medicine | 10700 E Geddes Ave, Suite 100, Englewood, CO 80112-3800 | 2013-12-19 |
| 1992134621 | Annette V. Wychgram | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2013-11-04 |
| 1588939714 | Amanda Leigh Small | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2012-03-21 |
| 1245514710 | Jessica Brooke Gaither | Radiologic Technologist | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2011-10-03 |
| 1134402415 | Benjamin Atchie | Radiology | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2011-09-23 |
| 1386955516 | Amy Rebecca Yactor Tolbert | Radiology | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2010-06-22 |
| 1972739001 | Michelle T Black | Internal Medicine | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2009-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417104399 | Sean Enis | Radiology | 189 Lyman Pl, Englewood, NJ 07631-3609 | 2008-08-22 |
| 1609928126 | Bergen Imaging Ctr Pa | Radiology | 180 North Dean St, Englewood, NJ 07631 | 2007-01-17 |
| 1982641916 | Bao C Nguyen | Radiology | 9780 Mt Pyramid Ct, Suite 160, Englewood, CO 80112-7054 | 2006-05-31 |
| 1316926272 | Allison Luanne Summers | Radiology | 383 Inverness Pkwy, Suite 280, Englewood, CO 80112-5865 | 2006-01-10 |
| 1821073180 | Joel A. Budin | Radiology | 355 Broad Ave, Englewood, NJ 07631-4348 | 2005-12-09 |
| 1922083401 | Phillip Gunther | Radiology | 10700 E Geddes Ave, Ste 200, Englewood, CO 80112-3800 | 2005-12-07 |
| 1487640462 | Dulcy E Wolverton | Radiology | 10700 E. Geddes Ave, Attn: Credentialing, Englewood, CO 80112-3681 | 2005-09-23 |
| 1518963214 | South Denver Integrated Imaging LLC | Radiology | 14251 E Fremont Ave, Englewood, CO 80112-4443 | 2005-06-27 |
| 1356345680 | Benjamin E Kassanoff | Radiology | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2005-05-31 |
| 1922556083 | Ugorji Radiology Consultants, LLC | Radiology | 7550 S Blackhawk St, #6-208, Englewood, CO 80112-4068 | 2016-09-19 |
| Find all providers in ENGLEWOOD | ||||
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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.