DR. ROBERT VERNE WIGGINS (NPI# 1184716144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184716144 |
| Entity Type | Individual |
| Full Name | DR. ROBERT VERNE WIGGINS |
| Practice Address |
825 Se Bishop Blvd Suite 130 Pullman WA 99163-5517 |
| Practice Telephone | 5093345876 |
| Practice Fax Number | 5093328793 |
| Mailing Telephone | 5093345876 |
| Mailing Fax Number | 5093328793 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD00025460 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CVCP | 8912267 | 01 |
| ID | 003289500 | 05 | |
| UNITED HEALTHCARE | 911408453 | 01 | |
| WA | MOLINA HEALTHCARE | 911408453 | 01 |
| LABOR AND INDUSTRIES | 0007539 | 01 | |
| ID | BLUE SHIELD OF ID | 000010004066 | 01 |
| WA | 1046598 | 05 | |
| PREMERA BLUE CROSS | 911408453 | 01 | |
| WA | GROUP HEALTH | 911408453 | 01 |
| ID | BLUE CROSS OF ID | DEHV6 | 01 |
| WA | FIRST CHOICE | 911408453 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649475690 | Robert E Wiggins Jr. | Dentist | 5903 W Port Arthur Road, Port Arthur, TX 77640 | 2007-06-19 |
| 1730202011 | Robert E Wiggins Jr. | Dentist | 200 Sayles Blvd, Abilene, TX 79605-2004 | 2007-04-09 |
| 1417017203 | Robert Wiggins | Emergency Medicine | 6700 I- H 10 West, San Antonio, TX 78201-0000 | 2006-12-11 |
| 1417024456 | Robert Ray Wiggins | Dentist | 13921 Meridian E, Suite 108, Puyallup, WA 98373-5604 | 2006-11-28 |
| 1225064090 | Robert Lloyd Wiggins | Pharmacist | Corner of Sidney and Lamont St, James H. Quillen/va Medical Center, Johnson City, TN 37684 | 2006-06-24 |
| 1386006872 | Robert Wiggins | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Box 800394, Charlottesville, VA 22908-0816 | 2016-03-23 |
| 1669555421 | Robert Joseph Wiggins Jr. | Pharmacist | University & Woodland Avenue, Philadelphia, PA 19104 | 2006-10-23 |
| 1740261155 | Robert Earl Wiggins Jr. | Ophthalmology | 8 Medical Park Dr, Asheville, NC 28803-2493 | 2005-11-11 |
| Street Address |
825 SE BISHOP BLVD SUITE 130 |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040823 | Derrick A Walker | Surgery | 825 Se Bishop Blvd, Suite 130, Pullman, WA 99163-5517 | 2005-08-22 |
| 1942757190 | Rutendo Chikuku | Audiologist | 825 Se Bishop Blvd, 601, Pullman, WA 99163-5517 | 2016-09-06 |
| 1851764500 | Barbara Bennett-wolcott | Advanced Practice Midwife | 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 | 2015-11-03 |
| 1073989489 | Nicole Clements | Specialist/Technologist | 825 Se Bishop Blvd, Suite 120, Pullman, WA 99163-5517 | 2015-08-19 |
| 1760889265 | Palouse Specialty Physicians, P.s. | Psychiatry & Neurology | 825 Se Bishop Blvd, Suite 601, Pullman, WA 99163-5517 | 2014-11-26 |
| 1548667421 | Palouse Specialty Physicians, P.s. | Otolaryngology | 825 Se Bishop Blvd, Suite 501, Pullman, WA 99163-5517 | 2014-11-20 |
| 1750704896 | Northwest Pharmacy Services Inc | Pharmacy | 825 Se Bishop Blvd, Ste 301, Pullman, WA 99163-5517 | 2014-01-24 |
| 1518395763 | Heather N Davis-remacle | Physician Assistant | 825 Se Bishop Blvd, Ste 200, Pullman, WA 99163-5517 | 2013-10-25 |
| 1285076737 | Nancy Bishop Panko | Surgery | 825 Se Bishop Blvd, Pullman, WA 99163-5517 | 2013-07-25 |
| 1447690672 | Corinne Elizabeth Gaddis | Specialist/Technologist | 825 Se Bishop Blvd, Suite 120, Pullman, WA 99163-5517 | 2013-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205226099 | Facialbeauty.com, Pllc | Otolaryngology | 11040 Main St, Suite 102, Bellevue, WA 98004-6363 | 2015-01-31 |
| 1295371060 | Cloud 9 Surgery Center | Otolaryngology | 1231 116th Ave Ne Ste 900, Bellevue, WA 98004-3822 | 2019-11-26 |
| 1750802328 | Brittany Regan Barber | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195 | 2017-07-04 |
| 1598103970 | Jeffrey Cabral Teixeira | Otolaryngology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-06-07 |
| 1831351360 | Jeffrey John Houlton | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-26 |
| 1588854178 | Clinic for Ear Nose Throat Head & Neck Medicine & Surgery P S | Otolaryngology | 307 S 12th Ave, Suite 12, Yakima, WA 98902-3100 | 2007-07-30 |
| 1316020159 | Neal David Futran | Otolaryngology | 1959 Ne Pacific St, Box 356515, Seattle, WA 98195-6515 | 2006-10-23 |
| 1134139595 | Marc William Herr | Otolaryngology | 9040 Jackson Ave, Tacoma, WA 98431-4501 | 2006-08-09 |
| 1316972292 | David Edward Vokes | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-07-11 |
| 1346289865 | Michael J. Wolfe | Otolaryngology | 1101 Madison St, Suite 301, Seattle, WA 98104-1306 | 2006-06-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.