Jeffrey Robert Wahl, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

04092 Issued in IA

Practice address

1000 W Lincolnway St
Suite Wco
Jefferson, IA 50129-1645

Phone

(515) 386-2240

Fax

(515) 386-2280

NPI assigned

Jun 8, 2007

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greene County Medical CenterGroup PAC ID 0143208595, shared by 5 NPIs, 16 clinicians

Guthrie County HospitalGroup PAC ID 6204745110, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guthrie County Hospital Hospital, Guthrie Center, IA, CCN 161314
• Greene County Medical Center Hospital, Jefferson, IA, CCN 161325

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwahl168583@direct.unitypoint.org

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

• Guthrie County Hospital

  • Critical Access Hospital
  • Guthrie Center, IA
  • NPI 1366414534
  Medicare reassignment Care Compare group NPD
• Greene County Medical Center

  • Critical Access Hospital
  • Jefferson, IA
  • NPI 1083654883
  Medicare reassignment NPD
• Greene County Medical Center

  • Multi-Specialty Clinic/Center
  • Jefferson, IA
  • NPI 1245260652
  Medicare reassignment NPD
• Greene County Medical Center

  • Orthopaedic Surgery Physician
  • Jefferson, IA
  • NPI 1134433923
  NPD
• Greene County Medical Center

  dba Greene County Family Medicine

  • Rural Health Clinic/Center
  • Jefferson, IA
  • NPI 1457825192
  NPD
• Guthrie County Hospital

  dba GCH Clinics

  • Family Medicine Physician
  • Panora, IA
  • NPI 1962654921
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greene County Medical Center

  • Critical Access Hospital
  • Jefferson, IA
  • NPI 1083654883
  Care Compare affiliation
• Guthrie County Hospital

  • Critical Access Hospital
  • Guthrie Center, IA
  • NPI 1366414534
  Care Compare affiliation

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1174726962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W LINCOLNWAY ST",
            "address_2": "SUITE WCO",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501291645",
            "telephone_number": "515-386-2240",
            "fax_number": "515-386-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "04092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffreywahl@gcho.securechart.com",
            "affiliation": "N",
            "endpointDescription": "Guthrie County Hospital and Clinics",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "710 N 12th St",
            "city": "Guthrie Center",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501151544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dominic Thielen
• Elvin Dean Thompson, DDS
• Dawn Elizabeth Tingwald, ARNP
• Vive Family Chiropractic PLLC
• Jacob Vogel, DOCTOR OF PHARMACY
• Steve C Walker
• Zachary Waterbury, DDS
• Megan Ralynn Waters, BA, CADC
• Ashley Marie Wells, ARNP
• Samantha Youngblood

• Orthopaedic Surgery Physician in Jefferson, IA
• Providers in Jefferson, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.