MEDICARE: JAMES N WHEELER P.A.-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA02458	TX
2	363A00000X	Physician Assistant	2015034328	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033304928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES N WHEELER P.A.-C

Provider Business Mailing Address
First Line	:	1025 MAINE ST
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62301-4096
Country	:	US
Telephone Number	:	217-222-6550
Fax Number	:	217-277-2253

Provider Business Practice Location Address
First Line	:	3531 STARDUST DR
Second Line	:
City	:	HANNIBAL
State	:	MO
Zip	:	63401-6224
Country	:	US
Telephone Number	:	573-248-3902
Fax Number	:	573-248-3900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2007
Last Update Date	:	01/12/2026

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