Active NPI
Robert Ross Wheeler, M.D.
- Internal Medicine Physician
- Eugene, OR
National Provider Identifier
1528132578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12563
- Practice address
- 350 Loma Linda LN
Eugene, OR 97405-2700 - Phone
- (541) 912-8287
- Fax
- (541) 684-9210
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12563 | OR | Primary |
Addresses
Primary practice location
350 Loma Linda LN
Eugene, OR 97405-2700
Mailing address
PO Box 5693
Eugene, OR 97405-0693
Phone (541) 912-8287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22243-0 | Medicaid | OR |
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 |
|---|---|---|---|
| 12563 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528132578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5693",
"city": "EUGENE",
"state": "OR",
"postal_code": "974050693",
"telephone_number": "541-912-8287",
"fax_number": "541-684-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LOMA LINDA LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052700",
"telephone_number": "541-912-8287",
"fax_number": "541-684-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "ROBERT",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "12563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22243-0",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.