Rod Wigle M.D., LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD13088 Issued in OR

Legal business name

ROD WIGLE M.D., LLC

Practice address

1693 SW Chandler Ave
250
Bend, OR 97702-3236

Phone

(541) 388-0673

Fax

(541) 388-2619

NPI assigned

Mar 19, 2008

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carla Wigle

Title

Secretary

Phone

(541) 388-4138

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1588835383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE",
            "address_2": "250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023236",
            "telephone_number": "541-388-0673",
            "fax_number": "541-388-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE",
            "address_2": "250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023236",
            "telephone_number": "541-388-0673",
            "fax_number": "541-388-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROD WIGLE M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "WIGLE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "541-388-4138",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD13088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277913",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Kae Robinson, L.M.T.
• Wade Louis Robirts, DT DO
• Angela M Robison, W000105223
• Aleksander Stewart Robles, MD
• Vivian G Rockwell, D.C.
• Rode Physical Therapy
• Brenda Renee Rode, DPT
• Thomas E Rodgers Jr., MA, NCC, LPC, CADC1
• Carol Roeder, PT
• Jane Margaret Roger

• Orthopaedic Surgery Physician in Bend, OR
• Providers in Bend, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.