Active NPI
Ronald David Whitelaw
- Hearing Instrument Specialist
- Lebanon, OR
National Provider Identifier
1811172802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS-P-173652
- Practice address
- 90 Market St Ste 60
Lebanon, OR 97355-2395 - Phone
- (541) 451-1733
- Fax
- (541) 451-4902
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HAS-P-173652 | OR | Primary |
Addresses
Primary practice location
90 Market St Ste 60
Lebanon, OR 97355-2395
Mailing address
90 Market St Ste 60
Lebanon, OR 97355-2395
Phone (541) 451-1733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006093 | Medicaid | OR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAS-P-173652 | OR | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1811172802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 MARKET ST STE 60",
"city": "LEBANON",
"state": "OR",
"postal_code": "973552395",
"telephone_number": "541-451-1733",
"fax_number": "541-451-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MARKET ST STE 60",
"city": "LEBANON",
"state": "OR",
"postal_code": "973552395",
"telephone_number": "541-451-1733",
"fax_number": "541-451-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITELAW",
"first_name": "RONALD",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "HAS-P-173652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006093",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.