Organization Active NPI

Ronald D Wobig MD PC

  • Orthopaedic Surgery Physician
  • Corvallis, OR
National Provider Identifier
1033394986
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RONALD D WOBIG MD PC
Practice address
1128 NE 2ND St
Suite 201
Corvallis, OR 97330-6230
Phone
(541) 757-8100
Fax
(541) 754-2707
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald D Wobig, MDNPI 1306834601
Title
Owner
Phone
(541) 757-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1128 NE 2ND St
Suite 201
Corvallis, OR 97330-6230

Mailing address

1128 NE 2ND St Ste 201
Corvallis, OR 97330-6298
Phone (541) 757-8100

Other identifiers 1

IdentifierTypeStateIssuer
134132MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040928000456 OR Part B Supplier - Clinic/Group Practice 8123097003 Receives reassigned benefits from 2 practitioners
Practice locations: Corvallis, OR
O20100930082168 OR DME Supplier - Physician - General Surgery 8123097003 1 other NPI on this enrollment
Practice locations: Corvallis, OR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1033394986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 NE 2ND ST STE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306298",
            "telephone_number": "541-757-8100",
            "fax_number": "541-754-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 NE 2ND ST",
            "address_2": "SUITE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306230",
            "telephone_number": "541-757-8100",
            "fax_number": "541-754-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD D WOBIG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "WOBIG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-757-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134132",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.