Active NPI
Jeffrey Wahlig
- Surgical Assistant
- Springfield, OR
National Provider Identifier
1194538660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 06-259
- Practice address
- 2445 Beverly St
Springfield, OR 97477-1910 - Phone
- (541) 284-3052
- NPI assigned
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 06-259 | OR | Primary |
Addresses
Primary practice location
2445 Beverly St
Springfield, OR 97477-1910
Mailing address
2445 Beverly St
Springfield, OR 97477-1910
Phone (541) 284-3052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06-259 | OR | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1194538660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 BEVERLY ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771910",
"telephone_number": "541-284-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 BEVERLY ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771910",
"telephone_number": "541-284-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHLIG",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-29",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "OR",
"license": "06-259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.