=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497105332
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DIANA M. WOHLER M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/21/2016
-----------------------------------------------------
Last Update Date | 08/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 186 PROVIDENCE ST
-----------------------------------------------------
City | WEST WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02893-2508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-615-2800
-----------------------------------------------------
Fax | 401-615-2805
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 186 PROVIDENCE ST
-----------------------------------------------------
City | WEST WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02893-2508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-615-2800
-----------------------------------------------------
Fax | 401-615-2805
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | LP03787
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | C1-0013758
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | MD16606
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------