Dwight R Tribelhorn, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD18428 Issued in OR

Practice address

2959 Siskiyou Blvd
#B
Medford, OR 97504-8131

Phone

(541) 773-3636

Fax

(541) 245-9147

NPI assigned

May 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1225075377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "address_2": "#B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636",
            "fax_number": "541-773-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "address_2": "#B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636",
            "fax_number": "541-245-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIBELHORN",
        "first_name": "DWIGHT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD18428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056973",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas R Treger, M.D.
• Norman Treminio Castillo IV, QMHA
• Heather Tresness, TSPC SCHOOL PSYCHOLO
• Helen Trew, M.D
• Donna Tribelhorn, MD
• Trillium Waterbirth Center
• Trinity Counseling Center, LLC
• Michael J Trinkler, PA-C
• Lisa R Triplett, FNP
• Dannielle Trotter

• Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.