Eric Paul Wohlrab, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

01047560A Issued in IN

Practice address

2301 N Bendix Dr
Ste. 500
South Bend, IN 46628-3486

Phone

(574) 647-1675

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1912982117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 DOUGLAS RD",
            "address_2": "SUITE 300",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N BENDIX DR",
            "address_2": "STE. 500",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466283486",
            "telephone_number": "574-647-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLRAB",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IN",
            "license": "01047560A",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01047560A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200352050",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Wise, LCSW
• Jody Lynn Wiseman, M.D.
• Madelyn Wiseman
• Juliana M Witham, OPTICIAN
• Grace Woenkhaus, RBT
• Seyoum Tekie Woldegebriel
• Christopher John Wolf, O.D.
• Scott H Wolf, MD
• Danielle Wolfe, RBT
• Catherine N Wolff, DO

• Occupational Medicine Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Occupational Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.