Active NPI
David Rollin Wakeland, MD
- Anesthesiology Physician
- Carmel, IN
National Provider Identifier
1407013634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01026740A
- Practice address
- 1924 Jackson Road
Carmel, IN 46032 - Phone
- (317) 587-2702
- NPI assigned
- May 16, 2008
- Last updated
- May 16, 2008
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01026740A | IN | Primary |
Addresses
Primary practice location
1924 Jackson Road
Carmel, IN 46032
Mailing address
1924 Jackson Road
Carmel, IN 46032
Phone (317) 587-2702
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026740A | IN | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1407013634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 JACKSON ROAD",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-587-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 JACKSON ROAD",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-587-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKELAND",
"first_name": "DAVID",
"middle_name": "ROLLIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01026740A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.