JUSTIN C WHEELER (NPI# 1487945135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487945135 |
| Entity Type | Individual |
| Full Name | JUSTIN C WHEELER |
| Credential | M.D. |
| Practice Address |
81 N Mario Capecchi Dr Fl 4 Salt Lake City UT 84113 |
| Mailing Address |
81 N Mario Capecchi Dr Fl 4 Salt Lake City UT 84113-1125 |
| Practice Telephone | 8012133599 |
| Mailing Telephone | 8012133599 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
M-13995 | ID | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
10316335-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855688 | Justin Wheeler | Specialist/Technologist | 1450 W Alabama Ave, Ruston, LA 71272-2711 | 2015-11-02 |
| 1265564009 | Justin Daniel Wheeler | Family Medicine | 1620 Cooper Point Rd Sw, Olympia, WA 98502-5736 | 2007-03-09 |
| Street Address |
81 N MARIO CAPECCHI DR FL 4 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275004400 | Michaela Mozley | Psychologist | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113-1125 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| 1083864763 | Patricia Ann Jones | Nurse Practitioner | 100 No. Medical Drive, Attn Same Day Surgery, Salt Lake City, UT 84113 | 2008-09-30 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1407210545 | University of Utah Pediatric Services | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-04-05 |
| 1831340231 | Raza Ali Patel | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2008-10-02 |
| 1417036088 | William Daniel Jackson | Pediatrics | 100 Mario Capecchi Dr, Suite 2650, Salt Lake City, UT 84113-1103 | 2006-11-03 |
| 1033298609 | Linda S Book | Pediatrics | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-11-03 |
| 1023117843 | Steven Shi-fong Wu | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245369693 | Pediatric Gastroenterology and Nutrition, Inc. | Pediatrics | 5770 S 250 E Ste 330, Murray, UT 84107-8104 | 2007-03-03 |
| 1811992928 | Janet K Harnsberger | Pediatrics | 5770 S 250 E, Ste 330, Murray, UT 84107-8104 | 2005-06-15 |
| 1346595188 | Cottonwood Pediatric Gastroenterology | Pediatrics | 5770 S 250 E, Ste330, Murray, UT 84107-8100 | 2012-07-18 |
| 1275566291 | Rajiv J Kaddu | Pediatrics | 1380 E Medical Center Dr, Suite 3100, St George, UT 84790-2123 | 2006-07-10 |
| City | SALT LAKE CITY |
| Zip Code | 84113 |
Please comment or provide details below to improve the information on JUSTIN C WHEELER.
| 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.