WHEATON ORTHOPAEDICS, LTD (NPI# 1871759241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871759241 |
| Entity Type | Organization |
| Organization Name | WHEATON ORTHOPAEDICS, LTD |
| Other Organization Name | SPORTSMED-WHEATON ORTHOPAEDICS |
| Practice Address |
2001 Gary Ave Suite 110 Wheaton IL 60187-3055 |
| Mailing Address |
327 Gundersen Dr Suite A Carol Stream IL 60188-2402 |
| Practice Telephone | 6306659156 |
| Practice Fax Number | 6306655557 |
| Mailing Telephone | 6306659156 |
| Mailing Fax Number | 6306655557 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | MRS. MAMIE T MARTIN (BILLING MANAGER) |
| Authorized Official Telephone | 6307843295 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHEATON ORTHOPAEDICS, LTD |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 042001705 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | CM4157 | 01 |
| IL | US DEPARTMENT OF LABOR | 130944200 | 01 |
| IL | BLUE SHIELD PROVIDER NUMBER | 2215428 | 01 |
| Other Name | Type Code |
|---|---|
| SportsMed-Wheaton Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205374717 | Wheaton Orthopaedics, Ltd | Specialist | 1971 Gowdey Rd, Suite 207, Naperville, IL 60563-4232 | 2017-02-03 |
| 1740477348 | Wheaton Orthopaedics, Ltd | Specialist | 636 Raymond Dr, Suite 104, Naperville, IL 60563-9789 | 2007-09-27 |
| Street Address |
2001 GARY AVE SUITE 110 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134186968 | Daesman Suri | Internal Medicine | 2001 Gary Ave, Suite 240, Wheaton, IL 60187-3055 | 2006-04-26 |
| 1346301611 | W. Patrick Zeller Md Ltd | Clinic/Center | 2001 Gary Ave, Suite 240, Wheaton, IL 60187 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114271525 | Gloria Bach | Specialist | 1275 Butterfield Rd Ste 102, Wheaton, IL 60189-8849 | 2012-11-07 |
| 1689925687 | Gerald A Jabaay | Specialist | 921 Gary Ct, Wheaton, IL 60187-4074 | 2012-10-01 |
| 1578896288 | Kimberly A Zamsky | Specialist | 1650 Castbourne Ct, Wheaton, IL 60189-7001 | 2009-09-13 |
| 1851624936 | Laura Newell | Specialist | 11 Christina Cir, Wheaton, IL 60189-3108 | 2009-09-08 |
| 1144456534 | Dina Devries | Specialist | 1512 Gamon Rd, Wheaton, IL 60189-7406 | 2009-05-31 |
| 1790948107 | Christine Dagenais | Specialist | 27w701 Swan Lake Dr, Wheaton, IL 60187-6008 | 2008-07-07 |
| 1245451954 | Carmen Peter Digiovine | Specialist | 1119 E Illinois St, Wheaton, IL 60187-5746 | 2007-05-01 |
| 1588676027 | Wajeed Khan | Specialist | 12016 Georgia Ave, Wheaton, MD 20902-2004 | 2006-08-13 |
| 1336173509 | Illinois Urological Institute | Specialist | 311 South County Farm Road, Suite B, Wheaton, IL 60187 | 2006-07-11 |
| 1184657942 | Michael Rashid | Specialist | 311 S County Farm Rd, Ste B, Wheaton, IL 60187-2477 | 2006-07-07 |
| Find all providers in WHEATON | ||||
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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.