JEREMY WHEELER (NPI# 1811504814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811504814 |
| Entity Type | Individual |
| Full Name | JEREMY WHEELER |
| Credential | LMT |
| Practice Address |
1748 Nw Fairview Dr # A Gresham OR 97030-3842 |
| Practice Telephone | 5034923910 |
| Mailing Telephone | 5034923910 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Y00000X | Spec/Tech, Health Info | 10440 | OR | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LMT | 10440 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918260 | Jeremy Frederick Wheeler | Pharmacist | 1013 Washington Blvd, Belpre, OH 45714-2363 | 2020-09-30 |
| 1639643448 | Jeremy T Wheeler | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2019-01-15 |
| Street Address |
1748 NW FAIRVIEW DR # A |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639727795 | Christina Bellmore | Specialist | 1748 Nw Fairview Dr # A, Gresham, OR 97030-3842 | 2019-08-30 |
| 1063029064 | Ariel Jeffreys | Specialist | 1748 Nw Fairview Dr # A, Gresham, OR 97030-3842 | 2020-09-24 |
| 1205443298 | Kate Madden | Specialist/Technologist, Other | 1748 Nw Fairview Dr # A, Gresham, OR 97030-3842 | 2020-09-24 |
| 1629626783 | Baylie Snyder | Specialist | 1748 Nw Fairview Dr # A, Gresham, OR 97030-3842 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 246Y00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Health Info |
| An individual with a high school diploma, on-the-job experience and coding education from seminars or college classes who passes a national certification examination in either inpatient and outpatient facility services coding, or physician services coding. |
| Notes: Source: American Health Information Management Association, Chicago, IL, 1996. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588284780 | Shaliene Daineille Ray | Spec/Tech, Health Info | 3397 Delta Waters Rd, Medford, OR 97504-5852 | 2020-04-17 |
| 1932768553 | Anthony B Balentine | Spec/Tech, Health Info | 806 Nw 6th St, Grants Pass, OR 97526-1525 | 2019-06-07 |
| 1013572155 | George Leroy Golden | Spec/Tech, Health Info | 3512 Lone Pine Rd, Medford, OR 97504-5637 | 2019-05-03 |
| 1538623228 | Northwest Payer Connections, LLC | Spec/Tech, Health Info | 961 Nw Hayes Ave Apt 24, Corvallis, OR 97330-4581 | 2019-01-26 |
| 1952865081 | Michael Fekete | Spec/Tech, Health Info | 3512 Lone Pine Rd, Medford, OR 97504-5637 | 2019-01-23 |
| 1902377658 | Brandon M Marr | Spec/Tech, Health Info | 300 W Main St, Medford, OR 97501-2756 | 2018-12-06 |
| 1962981571 | Mason Mckinney | Spec/Tech, Health Info | 3512 Lone Pine Rd, Medford, OR 97504-5637 | 2018-08-14 |
| 1083076616 | Alan Gruber | Spec/Tech, Health Info | 3512 Lone Pine Rd, Medford, OR 97504-5637 | 2016-03-23 |
| 1811358021 | Briar Bethea | Spec/Tech, Health Info | 300 W Main St, Medford, OR 97501-2756 | 2016-03-15 |
| 1861699449 | Janet Lynne Jacobs | Spec/Tech, Health Info | 63360 Nw Britta St Ste 1, Bend, OR 97701-9475 | 2007-06-28 |
| Find all providers with the same taxonomy | ||||
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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.