Organization Active NPI

Wilderness Road Health Services, LLC

  • Primary Care Clinic/Center
  • Whitley City, KY
National Provider Identifier
1952116550
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WILDERNESS ROAD HEALTH SERVICES, LLC
Practice address
19 Medical Loop Ste 4
Whitley City, KY 42653-4382
Phone
(606) 376-2639
NPI assigned
Feb 11, 2025
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Dr. Eric Robert Weber, MDNPI 1184121576
Title
Managing Director
Phone
(606) 376-2639

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

19 Medical Loop Ste 4
Whitley City, KY 42653-4382

Mailing address

19 Medical Loop Ste 4
Whitley City, KY 42653-4382
Phone (606) 376-2639

National Provider Directory

National Provider Directory

Locations

19 Medical Loop
Ste 4
Whitley City, KY 42653
Phone (606) 376-2639

Practitioners & affiliated clinicians

Practitioners 1

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": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1952116550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MEDICAL LOOP STE 4",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426534382",
            "telephone_number": "606-376-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEDICAL LOOP STE 4",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426534382",
            "telephone_number": "606-376-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERNESS ROAD HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "606-376-2639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitley City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.