Provider Demographics
NPI:1215037924
Name:WHEELER, LEIGH FRANKLIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:FRANKLIN
Last Name:WHEELER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11 CROSSWOODS PATH BLVD
Mailing Address - Street 2:#24
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-7210
Mailing Address - Country:US
Mailing Address - Phone:603-424-9769
Mailing Address - Fax:
Practice Address - Street 1:380 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2222
Practice Address - Country:US
Practice Address - Phone:603-926-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8029207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0108631Y0NH03OtherANTHEM
AA79993OtherHARVARD PILGRIM
MA2130696Medicaid
783940OtherMVP
NHP00462046OtherRAILROAD MEDICARE
NH30206503Medicaid
NH0108631Y0NH03OtherANTHEM
783940OtherMVP