Organization Active NPI

Raymond H. Wilbers, Inc.

  • General Practice Physician
  • Mexico, MO
National Provider Identifier
1629173232
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RAYMOND H. WILBERS, INC.
Practice address
625 E Summit St
Mexico, MO 65265-3294
Phone
(573) 581-2030
Fax
(573) 581-7675
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Raymond H Wilbers, M.D.
Title
Owner
Phone
(573) 581-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

625 E Summit St
Mexico, MO 65265-3294

Mailing address

625 E Summit St
Mexico, MO 65265-3294
Phone (573) 581-2030

Other identifiers 1

IdentifierTypeStateIssuer
500426200MedicaidMO

National Provider Directory

National Provider Directory

Locations

1109 W Old Farm Rd
Mexico, MO 65265
Phone (573) 581-2030

111 E 1st St
Montgomery Cy, MO 63361
Phone (573) 564-3214

1040 S Sturgeon St
Montgomery Cy, MO 63361
Phone (573) 564-3214

200 South St
Paris, MO 65275
Phone (660) 327-1024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1629173232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E SUMMIT ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653294",
            "telephone_number": "573-581-2030",
            "fax_number": "573-581-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E SUMMIT ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653294",
            "telephone_number": "573-581-2030",
            "fax_number": "573-581-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND H. WILBERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "WILBERS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-581-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500426200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.