DR. MAXWELL GREY WHEATON M.D.
NPI 1669267456
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Maxwell Wheaton's NPI number?

The NPI number for Maxwell Wheaton is 1669267456. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Q: What is Maxwell Wheaton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Maxwell Wheaton was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2025PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-8797(313) 343-7620 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Maxwell Grey Wheaton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAXWELL GREY WHEATON M.D. (NPI 1669267456) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669267456

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MAXWELL GREY WHEATONCredential: M.D.

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address38967 Parkway CirHarrison Township, MI 48045-6812 · (586) 484-3089

Phone(313) 343-8797

Fax(313) 343-7620

Sole ProprietorYes

Enumeration DateApril 11, 2025

NPPES CertifiedApril 11, 2025

✔ NPI 1669267456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22101 MOROSS RD, Detroit, MI 48236

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maxwell Grey Wheaton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)