Organization Active NPI

Lawrence J Wieland MD

Doing business as Redwood Family Practice

  • Family Medicine Physician
  • Eureka, CA
National Provider Identifier
1689780090
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Lawrence J Wieland, MDNPI 1104815380
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0077160MedicaidCA
RHM03916FMedicaidCA

Other names 1

  • REDWOOD FAMILY PRACTICE Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.