DR. RODNEY PHILLIP WIGLE (NPI# 1205813110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205813110 |
| Entity Type | Individual |
| Full Name | DR. RODNEY PHILLIP WIGLE |
| Credential | MD |
| Practice Address |
1693 Sw Chandler Ave Suite 250 Bend OR 97702-3236 |
| Practice Telephone | 5413880673 |
| Practice Fax Number | 5413882619 |
| Mailing Telephone | 5413880673 |
| Mailing Fax Number | 5413882619 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
OR | Allopathic & Osteopathic Physicians |
| Street Address |
1693 SW CHANDLER AVE SUITE 250 |
| City | BEND |
| State | OR |
| Zip Code | 97702-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548258320 | Scott Vincent Olson | Chiropractor | 1693 Sw Chandler Ave, Ste 130, Bend, OR 97702-3236 | 2005-10-06 |
| 1639530249 | Pro Motion Physical Therapy of Bend | Physical Therapist | 1693 Sw Chandler Ave, Suite 140, Bend, OR 97702-3236 | 2016-03-09 |
| 1346633294 | Deschutes Orthopedics, LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2015-03-16 |
| 1295075984 | Summit Health Solutions | Pain Medicine | 1693 Sw Chandler Ave, Suite 260, Bend, OR 97702-3236 | 2013-02-18 |
| 1851679583 | Oregon Trail Health Care | Anesthesiology | 1693 Sw Chandler Ave, 260, Bend, OR 97702-3236 | 2011-07-29 |
| 1013228295 | William Blake Matlock | Physical Therapist | 1693 Sw Chandler Ave, Suite 140, Bend, OR 97702-3236 | 2010-06-23 |
| 1588835383 | Rod Wigle M.d., LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, 250, Bend, OR 97702-3236 | 2008-03-19 |
| 1447429360 | Olson Chiropractic Wellness Center | Chiropractor | 1693 Sw Chandler Ave, St 130, Bend, OR 97702-3236 | 2008-02-25 |
| 1265587372 | James O. Cunnington II | Dentist | 1693 Sw Chandler Ave, #280, Bend, OR 97702-3236 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346633294 | Deschutes Orthopedics, LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2015-03-16 |
| 1811263635 | Micah B Naimark | Orthopaedic Surgery | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701 | 2012-03-26 |
| 1912923152 | Blake A Nonweiler | Orthopaedic Surgery | 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 | 2006-07-14 |
| 1689630816 | Cara E Walther | Orthopaedic Surgery | 1303 Ne Cushing Dr, Suite 100, Bend, OR 97701-3887 | 2006-04-25 |
| 1871566976 | Michael G Ryan | Orthopaedic Surgery | 1303 Ne Cushing Dr, Bend, OR 97701-3730 | 2006-02-09 |
| 1124090634 | Brett I Gingold | Orthopaedic Surgery | 1303 Ne Cushing Dr, Bend, OR 97701-3730 | 2006-02-07 |
| 1639179930 | Timothy S Bollom | Orthopaedic Surgery | 2200 Ne Neff Rd, Ste 200, Bend, OR 97701-4283 | 2005-07-28 |
| 1730184201 | Scott R Jacobson | Orthopaedic Surgery | 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184893984 | Matthew T A Sugalski Md PC | Orthopaedic Surgery | 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 | 2008-02-26 |
| 1639176480 | Stanley L James | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2005-07-07 |
| 1063822583 | Justin D Hudson | Orthopaedic Surgery | 600 Country Club Rd, Eugene, OR 97401-2240 | 2014-05-06 |
| 1750643060 | John C. Anderson, M.d., P.C. | Orthopaedic Surgery | 831 Nw Council Dr, Suite 130, Gresham, OR 97030-3721 | 2012-06-12 |
| 1437393949 | Jeffrey M Tuman | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2009-04-28 |
| 1225271133 | Milwaukie Orthopedic Service Inc | Orthopaedic Surgery | 10202 Se 32nd Ave, Suite 101, Milwaukie, OR 97222-3610 | 2009-04-08 |
| 1316103450 | Bret T Kean Md PC | Orthopaedic Surgery | 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 | 2008-07-29 |
| 1083885040 | Karl R Knudsen Md PC | Orthopaedic Surgery | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2008-03-18 |
| 1033317367 | Olugbenga Omotayo Sulaiman | Orthopaedic Surgery | 1200 Hilyard St, Suite 600, Eugene, OR 97401-8122 | 2007-07-09 |
| 1881818805 | Paul D. Ruesch, Md PC | Orthopaedic Surgery | 6542 Se Lake Rd, Suite 201, Milwaukie, OR 97222-2244 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
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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.