Individual provider Active NPI

Jeffrey Frank Wirebaugh, M.D.

  • Family Medicine Physician
  • Holland, OH
National Provider Identifier
1487650271
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-050638 Issued in OH
Practice address
7320 Red Maple Dr
Holland, OH 43528-9568
Phone
(419) 356-8558
Fax
(419) 273-0575
NPI assigned
Jun 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-050638 OH Primary

Addresses

Primary practice location

7320 Red Maple Dr
Holland, OH 43528-9568

Mailing address

7320 Red Maple Dr
Holland, OH 43528-9568
Phone (419) 356-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050706000008 OH Practitioner - Family Practice 4587600275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-050638OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1487650271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 RED MAPLE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289568",
            "telephone_number": "419-356-8558",
            "fax_number": "419-273-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 RED MAPLE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289568",
            "telephone_number": "419-356-8558",
            "fax_number": "419-273-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIREBAUGH",
        "first_name": "JEFFREY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-050638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.