SALLY JANE WHEELER (NPI# 1265524151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265524151 |
| Entity Type | Individual |
| Full Name | SALLY JANE WHEELER |
| Credential | MD |
| Practice Address |
2051 Clevidence Blvd Ste C Clarksville IN 47129-2278 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 8122806623 |
| Practice Fax Number | 8122806627 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 26770 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000390481 | 01 |
| KY | 64267701 | 05 |
| Street Address |
2051 CLEVIDENCE BLVD STE C |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129-2278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063942340 | Megan Elizabeth Graeter | Pediatrics | 2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 | 2017-06-19 |
| 1437458114 | Jenna Nicole Sanders | Pediatrics | 2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| Find all providers in zip 47129 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779509 | Blossoming Minds Pediatrics | Pediatrics | 11723 Trotter Crossing Ln, Clarksville, MD 21029-1445 | 2020-08-05 |
| 1871923805 | David Heppel | Pediatrics | 7318 Meadow Wood Way, Clarksville, MD 21029-1711 | 2013-11-12 |
| 1699911594 | Rainbow Kids Clinic | Pediatrics | 111 Otis Smith Dr., Clarksville, TN 37043 | 2008-12-23 |
| 1063563252 | Elaine Trogdon | Pediatrics | 5912 Tall Branches Pass, Clarksville, MD 21029-1691 | 2007-01-15 |
| 1902916620 | Elsa M Haddad | Pediatrics | 2606 Wildwood Dr, Clarksville, IN 47129-1642 | 2006-08-30 |
| 1629008719 | Jami Reyes | Pediatrics | 6016 Red Clover Ln, Clarksville, MD 21029-1271 | 2006-07-04 |
| 1700841210 | Jill S Howell-berg | Pediatrics | 2052 Clevidence Blvd, Ste 1, Clarksville, IN 47129-2278 | 2006-04-18 |
| 1568437036 | Margaret Ellen Sears-dementhon | Pediatrics | 6578 Guilford Rd, Clarksville, MD 21029-1520 | 2006-02-20 |
| 1700867538 | Laurie A Harris-ford | Pediatrics | 2199 Memorial Dr, Clarksville, TN 37043 | 2005-11-09 |
| 1942295589 | Larry M Faust | Pediatrics | 800 Weatherly Dr, Clarksville, TN 37043-8943 | 2005-09-20 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
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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.