Rhonda Lynn Wyland, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

15654 Issued in OR

Practice address

2461 SW Perkins Ave
Pendleton, OR 97801-4301

Phone

(541) 276-0250

Fax

(541) 276-0253

NPI assigned

Nov 14, 2005

Sex

Female

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

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1209
• Direct secure messaging: wyland@psp.gwaydirect.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Pediatric Specialists of Pendleton, LLC

  • Clinic/Center
  • Pendleton, OR
  • NPI 1689739310

  5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest

  CMS ownership
• Pediatric Specialists of Pendleton, LLC

  • Rural Health Clinic/Center
  • Pendleton, OR
  • NPI 1952630576

  5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest

  CMS ownership

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.

• Pediatric Specialists of Pendleton, LLC

  • Clinic/Center
  • Pendleton, OR
  • NPI 1689739310
  NPD (past)
• Pediatric Specialists of Pendleton, LLC

  • Rural Health Clinic/Center
  • Pendleton, OR
  • NPI 1952630576
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1518948819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 SW PERKINS AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978014301",
            "telephone_number": "541-276-0250",
            "fax_number": "541-276-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 SW PERKINS AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978014301",
            "telephone_number": "541-276-0250",
            "fax_number": "541-276-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLAND",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "15654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043828",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Woodbury, MD
• Nicole Worrall, M.S.
• Branson Worthen, FNP
• Mariah Shaunika Ray Wright, CRM
• Joseph J Wujek, M.D.
• Clarizza Yang
• Yellowhawk Tribal Health Center
• Yellowhawk Tribal Health Center
• Yellowhawk Tribal Health Center
• Yellowhawk Tribal Health Center Pharmacy (Yellowhawk Tribal Health Center)

• Pediatrics Physician in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.