WHEATON ORTHOPAEDICS, LTD (NPI# 1740477348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740477348 |
| Entity Type | Organization |
| Organization Name | WHEATON ORTHOPAEDICS, LTD |
| Practice Address |
636 Raymond Dr Suite 104 Naperville IL 60563-9789 |
| Mailing Address |
327 Gundersen Dr Suite A Carol Stream IL 60188-2402 |
| Practice Telephone | 6303552702 |
| Practice Fax Number | 6306655557 |
| Mailing Telephone | 6306659155 |
| Mailing Fax Number | 6306655557 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2009-01-28 |
| 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 | MEDICARE | 634490 | 01 |
| IL | NSC | 6017960002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205374717 | Wheaton Orthopaedics, Ltd | Specialist | 1971 Gowdey Rd, Suite 207, Naperville, IL 60563-4232 | 2017-02-03 |
| 1871759241 | Wheaton Orthopaedics, Ltd | Specialist | 2001 Gary Ave, Suite 110, Wheaton, IL 60187-3055 | 2008-08-05 |
| Street Address |
636 RAYMOND DR SUITE 104 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-9789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250642 | Sean Patrick Mccormick | Pediatrics | 636 Raymond Dr, Suite 205, Naperville, IL 60563-9789 | 2005-07-28 |
| 1528465614 | Melissa Mandra | Audiologist | 636 Raymond Dr, Suite 203, Naperville, IL 60563-9789 | 2014-12-04 |
| 1407269939 | Lauren Marie Panner | Registered Nurse | 636 Raymond Dr, Naperville, IL 60563-9791 | 2014-06-02 |
| 1740523539 | Jill Katherine Cotseones | Dermatology | 636 Raymond Dr, Naperville, IL 60563 | 2013-04-01 |
| 1285981167 | Elizabeth J Delass | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-09 |
| 1386991552 | Michaela Campagnolo | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-07 |
| 1720366636 | Lauren Nicole Taglia | Dermatology | 636 Raymond Dr, Naperville, IL 60563-9791 | 2011-07-26 |
| 1881972990 | Karen L Camporese | Physical Therapist | 636 Raymond Dr, Suite 104a, Naperville, IL 60563-9789 | 2011-07-25 |
| 1023304862 | Molly Purkart | Physical Therapist | 636 Raymond Dr, Suite 200, Naperville, IL 60563-9789 | 2011-06-20 |
| 1659675601 | Kimberly Anne Gubbins | Nurse Practitioner | 636 Raymond Dr, Suite 205, Naperville, IL 60563-9789 | 2011-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| 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 |
|---|---|---|---|---|
| 1760872642 | Ashley Cozzi | Specialist | 1001 E Chicago Ave Ste 151, Naperville, IL 60540-5500 | 2015-01-29 |
| 1821341322 | Beverly J Miles-washington | Specialist | 3115 Saganashkee Ln, Naperville, IL 60564-2400 | 2012-10-22 |
| 1699040543 | John Allan Rigali | Specialist | 23w334 Hampton Cir, Naperville, IL 60540-9317 | 2012-03-11 |
| 1104194257 | Carrie Elizabeth Shen | Specialist | 105 Stratford Ct, Naperville, IL 60540-4214 | 2011-12-05 |
| 1831467018 | Jyotsna Mehta | Specialist | 23 W 281 Creek Ct, Naperville, IL 60540 | 2011-12-02 |
| 1205123304 | Paulina Rebeca Jacobs | Specialist | 1439 Hackberry Ct, Naperville, IL 60540-5004 | 2011-07-09 |
| 1235363755 | Midwest Radiologist, Sc | Specialist | 928 Hobson Rd, Naperville, IL 60540-8142 | 2009-05-12 |
| 1174789663 | Manjinder Kaur Brar | Specialist | 900 E Diehl Rd, Naperville, IL 60563-1403 | 2008-08-04 |
| 1063695237 | Naperville Womens Health Care, PC | Specialist | 720 Brom Ct Ste 104, Naperville, IL 60540-6533 | 2007-12-11 |
| 1366634008 | Theodore J Suchy Do | Specialist | 7 South 525 Old College Rd, Naperville, IL 60540 | 2007-08-16 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on WHEATON ORTHOPAEDICS, LTD.
| 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.