Active NPI
Lawrence J Wieland MD
Doing business as Redwood Family Practice
- Family Medicine Physician
- Eureka, CA
National Provider Identifier
1689780090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LAWRENCE J WIELAND MD
- Doing business as
- Redwood Family Practice
- Practice address
- 2350 Buhne St Ste a
Eureka, CA 95501-3205 - Phone
- (707) 443-4593
- NPI assigned
- Aug 21, 2006
- Last updated
- Oct 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence J Wieland, MD
- Title
- Owner
- Phone
- (707) 443-4593
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2350 Buhne St Ste a
Eureka, CA 95501-3205
Mailing address
2350 Buhne St Ste a
Eureka, CA 95501-3205
Phone (707) 443-4593
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0077160 | Medicaid | CA | |
| RHM03916F | Medicaid | CA |
Other names 1
- REDWOOD FAMILY PRACTICE
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Eureka, CA
- NPI 1104815380
-
- Legal Medicine
- Eureka, CA
- NPI 1124018171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318464000000",
"number": "1689780090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 BUHNE ST STE A",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013205",
"telephone_number": "707-443-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 BUHNE ST STE A",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013205",
"telephone_number": "707-443-4593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE J WIELAND MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2011-10-13",
"status": "A",
"authorized_official_last_name": "WIELAND",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-443-4593",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0077160",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM03916F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REDWOOD FAMILY PRACTICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.