Individual provider Active NPI

John Victor Wrigley, M.D

  • Urology Physician
  • Roseburg, OR
National Provider Identifier
1629088471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD0993 Issued in OR
Practice address
1813 W Harvard Ave
Suite 214
Roseburg, OR 97470-2752
Phone
(541) 672-0091
Fax
(541) 672-0561
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD0993 OR Primary

Addresses

Primary practice location

1813 W Harvard Ave
Suite 214
Roseburg, OR 97470-2752

Mailing address

1813 W Harvard Ave
Suite 214
Roseburg, OR 97470-2752
Phone (541) 672-0091

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0993ORMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roseburg Clinic, P.C. Past Accepting new patients
John Wrigley, M.D.,P.C. Urology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629088471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE 214",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702752",
            "telephone_number": "541-672-0091",
            "fax_number": "541-672-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE 214",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702752",
            "telephone_number": "541-672-0091",
            "fax_number": "541-672-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGLEY",
        "first_name": "JOHN",
        "middle_name": "VICTOR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD0993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, 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.

Verify at the official NPI Registry.