National Provider Identifier

Jodi L Wheeler, PA

Jodi L Wheeler, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 475-2255.

NPI 1629036926Rochester, NYPhysician Assistant

Profile Overview

NPI
1629036926
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
May 03, 2006
Last Updated
June 15, 2022

Practice Location

  • 117 Lomb Memorial Dr # 23A
  • Rochester, NY 14623-5608

Phone: (585) 475-2255

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1629036926
Entity Type
Individual
Last Name
Wheeler
First Name
Jodi
Middle Name
L
Credential
PA
Mailing Street Address
117 Lomb Memorial Dr # 23A
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-5608
Mailing Country
US
Mailing Phone
(585) 475-2255
Mailing Fax
(585) 475-7788
Practice Street Address
117 Lomb Memorial Dr # 23A
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-5608
Practice Country
US
Practice Phone
(585) 475-2255
Practice Fax
(585) 475-7788
Enumeration Date
May 03, 2006
Last Updated
June 15, 2022
Sex
Female
Sole Proprietor
No
Certification Date
June 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
P019010604 (NY, Blue Choice #), PA0455 (NY, Preferred Care # For Peds), PA0454 (NY, Preferred Care # For Im)