Stephanie Wirth

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC206962 Issued in OR

Practice address

727 SE Cass Ave Ste 318
Roseburg, OR 97470-4954

Phone

(541) 357-7685

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roseburg Acupuncture LLC

  • Acupuncturist
  • Roseburg, OR
  • NPI 1356000426
  NPD Authorized official

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1154190403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 SE CASS AVE STE 318",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704954",
            "telephone_number": "302-763-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SE CASS AVE STE 318",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704954",
            "telephone_number": "541-357-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC206962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Wilson
• Leonard Wilson, D.M.D.
• Stewart M Wilson Jr., MD
• Wilt'S Emergency Service and Transport, Inc.
• Janice I Winstead, CADCII
• Derek Wiseman, MD
• Michelle Wissel, CADC
• Linda Witbeck
• Andrea Shea Witham, FNP-C, PMHNP-BC
• Chelsea Lynn Wold, LCSW

• Acupuncturist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.