MR. JOSEPH KEVIN WHEATLEY (NPI# 1982789152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982789152 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH KEVIN WHEATLEY |
| Credential | M.D. |
| Practice Address |
1000 South Columbia Road Grand Forks ND 58206-6002 |
| Mailing Address |
Po Box 6002 Grand Forks ND 58206-6002 |
| Practice Telephone | 7017805000 |
| Practice Fax Number | 4048745902 |
| Mailing Telephone | 7017805000 |
| Mailing Fax Number | 4048745902 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2013-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 12925 | ND | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 017340 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000395530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860997 | Joseph Edward Wheatley | Dentist | 410 W Central Ave, 102, Brea, CA 92821-3014 | 2006-10-26 |
| Street Address |
1000 SOUTH COLUMBIA ROAD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58206-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439994 | Darrell Eugene Zeller | Obstetrics & Gynecology | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2005-09-29 |
| 1083163331 | Robert Luke Sorvig | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2016-09-28 |
| 1144618810 | Sarah Ann Gabert | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1053709725 | Max Whitney Stork | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1396133062 | Lisa Lehn Durick | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1588052252 | Kevin Keith Kern | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1205224979 | Brandon M Hallquist | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2015-01-05 |
| 1730587312 | Jesse Lee Lunde | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| 1558769133 | Brooke Melicher Hanson | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| 1275931859 | Michael Douglas Meier | Pharmacist | 1000 South Columbia Road, Grand Forks, ND 58201 | 2014-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619283298 | Brandi Jo Miller | Physical Therapist | 1000 S Columbia Rd, Grand Forks, ND 58206 | 2010-08-20 |
| 1659569200 | Janet Lee | Neurological Surgery | 1300 S Columbia Rd, Grand Forks, ND 58206 | 2007-10-09 |
| 1831389857 | Genevieve Marie Ziegler | Occupational Therapist | 1000 S Columbia Rd, Grand Forks, ND 58206 | 2007-07-26 |
| 1033493473 | Cheri Langei | Social Worker | 151 S. 4th St, Suite 201, Grand Forks, ND 58206-5196 | 2011-10-04 |
| 1255647657 | Todd James Galbreath | Pharmacist | 1200 So. Columbia Rd., Altru Retail Pharmacy, Grand Forks, ND 58206-6002 | 2010-08-23 |
| 1821236100 | Mariah Rose Dolan | Physical Therapist | 1000 South Columiba Rd, Grand Forks, ND 58206-6002 | 2009-01-26 |
| 1235334269 | Jordan James Wojnarski | Speech-Language Pathologist | 1300 Columbia Road S, Grand Forks, ND 58206-6002 | 2007-06-19 |
| 1669681425 | Sara Elizabeth Bjerke | Specialist/Technologist | 1300 S Columiba Rd, Grand Forks, ND 58206-6002 | 2007-05-21 |
| 1306065602 | Lindsey G Miskavige | Speech-Language Pathologist | 1200 South Columbia Road, Grand Forks, ND 58206-6002 | 2007-04-25 |
| 1396836193 | Bernard Jerome Hoggarth | Pediatrics | 1000 S Columbia Road, Grand Forks, ND 58206-6002 | 2006-09-27 |
| Find all providers in zip 58206 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508933144 | Dr Steven Schultz Md PC | Urology | 3375 De Mers Ave, Grand Forks, ND 58201 | 2006-11-29 |
| 1255592903 | Cordell Ross Davis | Urology | 4440 S Washington St, Grand Forks, ND 58201-7245 | 2008-06-24 |
| 1063619237 | Adam Foster Nicholson | Urology | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811190465 | Medcenter One Inc | Urology | 12 1st St W, City Center Plaza, Dickinson, ND 58601-5106 | 2007-06-08 |
| 1326178013 | Alan F.h. Lim, M.d., P.C. | Urology | 20 Burdick Expy W Ste 202, Minot, ND 58701-4498 | 2007-03-06 |
| 1912947847 | Robert Allen Pathroff | Urology | 225 North 7th Street, Bismarck, ND 58501 | 2006-06-08 |
| 1578529392 | Salem Shehadeh Shahin | Urology | 1219 Knoll St, Williston, ND 58801 | 2006-04-21 |
| 1255827697 | Karim Courtemanche | Urology | 222 N 7th St, Bismarck, ND 58501-4436 | 2018-07-09 |
| 1831519388 | Archana Rajender | Urology | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-04-23 |
| 1295179687 | Eric Andrew Schommer | Urology | 801 Broadway N, Fargo, ND 58102 | 2013-04-29 |
| 1326301250 | Philip M. Wanzek | Urology | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2012-06-15 |
| 1205104080 | Salem S Shahin Md PC | Urology | 1219 Knoll St, Williston, ND 58801-3234 | 2011-12-07 |
| 1750676201 | Cameron M Charchenko | Urology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2011-06-13 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58206 |
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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.