Organization Active NPI

Grace Good Health, PC

  • Family Medicine Physician
  • Corvallis, OR
National Provider Identifier
1386947612
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO028694 Issued in OR
Legal business name
GRACE GOOD HEALTH, PC
Practice address
442 NW 4TH St
Suite 101
Corvallis, OR 97330-6491
Phone
(541) 602-0260
Fax
(541) 758-1058
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Gael A Wheeler, DO
Title
Doctor
Phone
(541) 758-5047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO028694 OR Primary

Addresses

Primary practice location

442 NW 4TH St
Suite 101
Corvallis, OR 97330-6491

Mailing address

PO Box 547
Corvallis, OR 97339-0547
Phone (541) 758-5047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1386947612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973390547",
            "telephone_number": "541-758-5047",
            "fax_number": "541-758-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 NW 4TH ST",
            "address_2": "SUITE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306491",
            "telephone_number": "541-602-0260",
            "fax_number": "541-758-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE GOOD HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "GAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "541-758-5047",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO028694",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 7, 2013; 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.