Wilber & Associates

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

WILBER & ASSOCIATES

Practice address

1165 Montgomery Dr
Pathology Department
Santa Rosa, CA 95405-4801

Phone

(209) 575-4575

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Wattle

Title

Medical Billing Rep

Phone

(209) 575-4575

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1679520464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4978",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524978",
            "telephone_number": "209-575-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MONTGOMERY DR",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054801",
            "telephone_number": "209-575-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "WATTLE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICAL BILLING REP",
        "authorized_official_telephone_number": "209-575-4575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0088940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Widerhorn
• Ellie Rivkah Pritschet Wiener
• Makayla Danielle Wietek
• Wallace T. Wiggam, RN
• Katharine Wignall, RN
• Heather Wilber
• Richard Wilber, MD
• Frank Ray Wilbur, D.C.
• Kyle Wilburn
• Steven Charles Wilburn, DMD

• Anatomic Pathology & Clinical Pathology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.