Richard Carl Wahl, MD

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

23415 Issued in CO

Practice address

4301 Mow-Way Road
Reynolds Army Community Hospital Attn Ruby D Prescott
Fort Sill, OK 73503-6300

Phone

(580) 458-2134

Fax

(580) 458-2314

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598856502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MOW-WAY ROAD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL ATTN RUBY D PRESCOTT",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MOW-WAY ROAD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL ATTN RUBY D PRESCOTT",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "RICHARD",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CO",
            "license": "23415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Hutton Vogen, DMD, MS
• Sherah Vogen, OD
• Judy Vorheis, APRN-CNP
• Albert Minh Vu, PA-C
• Kenneth Ray Waggoner, LPC, LADC
• Meyon Sheree Walker
• Nikki Walker, CPHT
• David Matthew Wallitt, DMD
• Codi Rebekah Warren Heinzeroth, RD LD
• Dominique A. Watt, LCSW

• Clinical Pathology/Laboratory Medicine Physician in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Clinical Pathology/Laboratory Medicine Physician in Oklahoma

• 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.

Verify at the official NPI Registry.