Donald E. Wonderly MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD22082 Issued in OR

Legal business name

DONALD E. WONDERLY MD PC

Doing business as

Accent on Women's Health

Practice address

2460 NW Stewart Pkwy
Suite 240
Roseburg, OR 97471-1516

Phone

(541) 677-4427

Fax

(541) 677-6522

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Kim A Peace

Title

Assistant Office Manager

Phone

(541) 677-4427

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Accent on Women's Health Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Bzowy, ANP

  • Women's Health Nurse Practitioner
  • Roseburg, OR
  • NPI 1356447924
  Medicare reassignment NPD
• Kathryn Lechner, CNM

  • Advanced Practice Midwife
  • Roseburg, OR
  • NPI 1538642566
  Medicare reassignment NPD
• Mitzi B Thompson, NP

  • Women's Health Nurse Practitioner
  • Roseburg, OR
  • NPI 1912987926
  Medicare reassignment NPD
• Donald E Wonderly, M.D.

  • Obstetrics & Gynecology Physician
  • Roseburg, OR
  • NPI 1417990003
  Medicare reassignment NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1952424541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "WINCHESTER",
            "state": "OR",
            "postal_code": "974950568",
            "telephone_number": "541-677-4427",
            "fax_number": "541-677-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 NW STEWART PKWY",
            "address_2": "SUITE 240",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711516",
            "telephone_number": "541-677-4427",
            "fax_number": "541-677-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E. WONDERLY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "541-677-4427"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD22082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028442",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accent on Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Lynn Docken, LPC
• Megan Dodge
• Rumen Doggett
• Derya Dolan, AMFT
• Taylor Dombek
• Cassandra Mae Donlon-Silvestri, PMHNP
• Thirupathi Reddy Dontam
• Ivy Doolittle
• William D Doubledee
• Heidi Doud

• Obstetrics & Gynecology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.