Provider Demographics
NPI:1144264680
Name:WHEELER, SCOTT CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:CHARLES
Last Name:WHEELER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1145 BEACON AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050
Mailing Address - Country:US
Mailing Address - Phone:609-597-1987
Mailing Address - Fax:609-597-8198
Practice Address - Street 1:1145 BEACON AVENUE, SUITE A MANAHAWKIN
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050
Practice Address - Country:US
Practice Address - Phone:609-597-1987
Practice Address - Fax:609-597-8198
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN48545208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology