Individual
THOMAS LEWIS WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
22181
SC
207VG0400X
Gynecology Physician
22181
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221815
—
SC
01
—
P00656689
RAILROAD MEDICARE
SC
01
—
P00801318
RR MEDICARE
SC
01
—
SCJ8115019
MEDICARE PIN
SC
Enumeration date
07/26/2006
Last updated
06/03/2021
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