DR. WHEELER JOHN DALE (NPI# 1780707174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780707174 |
| Entity Type | Individual |
| Full Name | DR. WHEELER JOHN DALE |
| Credential | M.D. |
| Practice Address |
5060 Sw Philomath Blvd # 512 Corvallis OR 97333 |
| Mailing Address |
5060 Sw Philomath Blvd # 512 Corvallis OR 97333-3239 |
| Practice Telephone | 5412509074 |
| Mailing Telephone | 5412509074 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01081209A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
30108 | KY | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD25366 | OR | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
30108 | KY | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
30108 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1780707174 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 468450025 | 2602665260 | 2602665279 |
| Street Address |
5060 SW PHILOMATH BLVD # 512 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1669549036 | Leslie Y Dobkins | Occupational Therapist | 4515 Sw Country Club Dr, Corvallis, OR 97333 | 2006-11-29 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992712483 | Vincent Gimino | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-08-01 |
| 1366492886 | Mari M Goldner | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-05-12 |
| 1568411445 | John Ivan Gotchall | Internal Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548587660 | Anna Kristin Brady | Internal Medicine | 3181 Sw Sam Jackson Park Rd # 67, Portland, OR 97239-3011 | 2010-04-29 |
| 1447417100 | Mary Suzanne Mckenzie | Internal Medicine | 19250 Sw 65th Ave Ste 137, Tualatin, OR 97062-7745 | 2008-05-20 |
| 1316142425 | Fayez A. Bader | Internal Medicine | 801 Mission St. Se, Salem, OR 97302-6217 | 2007-06-19 |
| 1699869255 | Ralph A Juarez | Internal Medicine | 10201 Se Main St Ste 11, Portland, OR 97216-2937 | 2006-10-03 |
| 1285731059 | Catherine J Markin | Internal Medicine | 2222 Nw Lovejoy St., Mob 1 Suite 411, Portland, OR 97210 | 2006-09-20 |
| 1477520120 | Poh Hock Leng | Internal Medicine | 2222 Nw Lovejoy St Ste 411, Portland, OR 97210-5102 | 2006-03-01 |
| 1407832868 | Razvan I Gosman | Internal Medicine | 2460 Nw Stewart Pkwy, Suite 103, Roseburg, OR 97471-1516 | 2005-12-19 |
| 1629054085 | Luana Ionela Petre Nedita | Internal Medicine | 2460 Nw Stewart Parkway, Suite 103, Roseburg, OR 97471-1516 | 2005-12-19 |
| 1952885659 | Amy Purkey | Internal Medicine | 890 Oak St Se, Salem, OR 97301-3905 | 2018-09-18 |
| 1467979344 | Don Gilbert Burke | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701 | 2017-08-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. WHEELER JOHN DALE.
| 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.