Larry Wheeler is a Pedorthist in Lexington, Kentucky. Larry Wheeler practices all healthcare services and medical treatments related to Pedorthist. The NPI Number for Larry Wheeler is 1104939156. The last update date is 2016-11-21.
Larry Wheeler's current location address is 371 Southland Dr, Lexington, Kentucky. You can contact this provider via phone number 8592660420 and fax number 8592660667. The mailing address for Larry Wheeler is 371 Southland Dr, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Wheeler |
|---|---|
| Address | 371 Southland Dr, Lexington, Kentucky |
| Phone Number | 8592660420 |
| Fax Number | 8592660667 |
| Sole Proprietor | N |
| Credentials | C.PED |
NPI Number Detail
| NPI Number | 1104939156 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2016-11-21 |
Provider Mailing Address Detail
| Address | 371 Southland Dr |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405031824 |
| Phone Number | 8592660420 |
| Fax Number | 8592660667 |
Provider's Primary Taxonomy Detail
| Speciality | Pedorthist |
|---|---|
| Taxonomy | 224L00000X |
| Licence No | 111233 |
|
Definition: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 519294 | KY | ANTHEM BC/BS | |
| 208278527 | KY | HUMANA | |
| 5574649 | KY | AETNA | |
| 7100026770 | KY | -- | |
| 5939230001 | KY | MEDICARE DME | |
| 208278527 | KY | TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Larry Wheeler by the Centers for Medicare & Medicaid Services?
The Larry Wheeler has been assigned the NPI (National Provider Identifier) 1104939156. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry Wheeler's facilities are situated?
The facilities of Larry Wheeler are physically located at the following address: 371 Southland Dr, Lexington, KY, 405031824.
What is Larry Wheeler's area of expertise and its corresponding taxonomy classification?
The Larry Wheeler's field of specialization is Pedorthist, and it falls under the taxonomy code 224L00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1104939156 assigned to Larry Wheeler?
The Larry Wheeler was issued its 1104939156 on 2006-08-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Larry Wheeler most recently updated?
The details pertaining to the Larry Wheeler, including its address, specialty, and other relevant information, were last refreshed on 2016-11-21.