Provider Demographics
NPI:1467545418
Name:WHEELER, JAMES (PA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:WHEELER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:115 W SILVER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-3678
Mailing Address - Country:US
Mailing Address - Phone:413-642-7200
Mailing Address - Fax:413-562-1821
Practice Address - Street 1:57 UNION ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-2658
Practice Address - Country:US
Practice Address - Phone:413-642-7200
Practice Address - Fax:413-562-1821
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT002254363AM0700X
MAPA1319363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical