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DR. RICHARD LEE WIGLE MD NPI 1295759850


NPI Information

NPI: 1295759850
Provider Name: DR. RICHARD LEE WIGLE, MD
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

PECOS Registration: Yes

Address:
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-5000
Get Directions

DR. Richard Lee Wigle, MD is a trauma surgery surgery in Shreveport, LA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. DR. Richard Lee Wigle, MD NPI is 1295759850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-5000

The NPI 1295759850 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryG1230TEXASNo
2208600000XSurgeryG28185CALIFORNIANo
3208600000XSurgery25673NORTH CAROLINANo
4208600000XSurgery9525MISSISSIPPINo
5208600000XSurgery15769SOUTH CAROLINANo
6208600000XSurgery33847MINNESOTANo
7208600000XSurgery98-198NEW MEXICONo
8208600000XSurgery025209WASHINGTONNo
92086S0127XSurgeryTrauma Surgery50898WISCONSINNo
10208600000XSurgeryM7531IDAHONo
112086S0127XSurgeryTrauma Surgery05539RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11032824MEDICAIDLOUISIANA
24K995F600OTHERLOUISIANAMEDICARE - PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.