Individual provider Active NPI

Erik Wiglama, D.O.

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1447695994
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2016-01358 Issued in NC
Practice address
101 Robeson St
Suite 300
Fayetteville, NC 28301-5552
Phone
(910) 615-1617
Fax
(910) 615-1618
NPI assigned
May 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2016-01358 NC Primary

Addresses

Primary practice location

101 Robeson St
Suite 300
Fayetteville, NC 28301-5552

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other practice location 1

8300 Health Park Ste 320
Raleigh, NC 27615-4731
Phone (919) 781-9650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ewiglama286169@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160810001890 NC Practitioner - Internal Medicine 9436478393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Unc Physicians Network Group Practices LLCGroup PAC ID 7810142833, 42 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

8300 Health Park
Suite 320
Raleigh, NC 27615-4731
Phone (919) 781-9650

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Raleigh, NC, CCN 347243
  • Wakemed Home Health Home health agency, Raleigh, NC, CCN 347179
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016-01358NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network Group Practices, LLC Internal Medicine Current Accepting new patients
Unc Physicians Network Group Practices, LLC CurrentSince Jun 1, 2019 Accepting new patients
Unc Physicians Network Group Practices, LLC CurrentSince Jun 1, 2019 Accepting new patients
Boylan Medical Associates PLLC Internal Medicine Past Accepting new patients

Locations

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

8300 Health Park
Ste 320
Raleigh, NC 27615
Phone (919) 569-5971

3900 Browning Pl
Ste 101
Raleigh, NC 27609

Interoperability endpoints

  • Direct secure messaging: ewiglama286169@direct.unc.nchie.net

Organizations & group practices 4

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1447695994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROBESON ST",
            "address_2": "SUITE 300",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015552",
            "telephone_number": "910-615-1617",
            "fax_number": "910-615-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Health Park Ste 320",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276154731",
            "country_code": "US",
            "telephone_number": "919-781-9650",
            "fax_number": "919-781-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGLAMA",
        "first_name": "ERIK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2016-01358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewiglama286169@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "8300 Health Park Ste 320",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276154731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.