Provider Demographics
NPI:1760406029
Name:WHEELER, JAMES ARNOLD (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ARNOLD
Last Name:WHEELER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28219-9305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1054 BURRAGE RD NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2910
Practice Address - Country:US
Practice Address - Phone:704-403-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-00831207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5904221Medicaid
NC808043OtherPARTNERS MEDICARE CHOICE
NC2666301OtherUNITED HEALTH CARE
NC6147534OtherCIGNA
NC7784844OtherAETNA
NC$$$$$$$$$OtherTRICARE
NC190808OtherMEDCOST
NC142W2OtherBCBS
NCNCE839C904Medicare PIN
NC6147534OtherCIGNA