Provider Demographics
NPI:1730522053
Name:WHEELER, FELICIA HARE (MD)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:HARE
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FELICIA
Other - Middle Name:ANN
Other - Last Name:HARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6016 BROOKVALE LN STE 200
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4092
Mailing Address - Country:US
Mailing Address - Phone:865-862-0998
Mailing Address - Fax:865-544-1861
Practice Address - Street 1:2607 KINGSTON PIKE STE 100
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3343
Practice Address - Country:US
Practice Address - Phone:865-862-3561
Practice Address - Fax:865-862-3571
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN59218207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ043687Medicaid