Individual
MARK A WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, AA-C
Contact information
Practice address
110 IRVING ST NW, ROOM G-226, WASHINGTON, DC 20010-3017
(202) 877-7504
(202) 877-5075
Mailing address
110 IRVING ST NW, ROOM G-226, WASHINGTON, DC 20010-3017
(202) 877-7504
(202) 877-5075
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
1981
AZ
367H00000X
Anesthesiologist Assistant
Primary
AA000026
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374405
—
AZ
01
—
86080015085260A056
TRIWEST
AZ
01
—
970004191
RAILROAD MEDICARE
AZ
Enumeration date
11/21/2005
Last updated
09/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us