{ "result_count": 49, "results": [ { "addresses": [ { "address_1": "3100 W LAKEWAY RD", "address_2": "SUITE 3", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "postal_code": "827186372", "state": "WY", "telephone_number": "307-696-1475" }, { "address_1": "8101 STONE CREST DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "postal_code": "827184006", "state": "WY", "telephone_number": "307-696-1475" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "JOHN", "authorized_official_last_name": "MANSELL", "authorized_official_middle_name": "L.", "authorized_official_telephone_number": "3076962996", "authorized_official_title_or_position": "Provider", "certification_date": "2024-01-23", "enumeration_date": "2015-06-23", "last_updated": "2024-01-23", "organization_name": "A WYOMING PAIN CLINIC P C", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1435082534000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1706048043000", "number": "1164804480", "other_names": [ { "code": "3", "organization_name": "POWDER RIVER PAIN CLINIC", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "207L00000X", "desc": "Anesthesiology", "license": "7144A", "primary": false, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "261QP3300X", "desc": "Clinic/Center, Pain", "license": "7144A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "7144A", "primary": true, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "286 N GATEWAY DR STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "PROVIDENCE", "country_code": "US", "country_name": "United States", "fax_number": "435-932-6130", "postal_code": "843325603", "state": "UT", "telephone_number": "435-932-6125" }, { "address_1": "274 N MAIN ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "LOGAN", "country_code": "US", "country_name": "United States", "postal_code": "843213915", "state": "UT" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "VIKAS", "authorized_official_last_name": "GARG", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "4357531600", "authorized_official_title_or_position": "OWNER", "enumeration_date": "2010-03-17", "last_updated": "2019-10-07", "organization_name": "ADVANCED SPINE PAIN SPECIALISTS", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1268843723000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1570480181000", "number": "1285958439", "other_names": [], "practiceLocations": [ { "address_1": "196 ARROWHEAD DR", "address_2": "5", "address_purpose": "LOCATION", "address_type": "DOM", "city": "EVANSTON", "country_code": "US", "country_name": "United States", "fax_number": "435-932-6130", "postal_code": "829308752", "state": "WY", "telephone_number": "435-932-6125" }, { "address_1": "520 MEDICAL DR STE 220", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BOUNTIFUL", "country_code": "US", "country_name": "United States", "fax_number": "801-299-6825", "postal_code": "840108932", "state": "UT", "telephone_number": "801-299-6824" }, { "address_1": "396 YELLOWSTONE AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "POCATELLO", "country_code": "US", "country_name": "United States", "fax_number": "435-932-6130", "postal_code": "832014572", "state": "ID", "telephone_number": "435-932-6125" } ], "taxonomies": [ { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": "8233A", "primary": false, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208VP0000X", "desc": null, "license": "8233A", "primary": true, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "301 THELMA DR # 532", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826092325", "state": "WY", "telephone_number": "307-776-9000" }, { "address_1": "1086 FRANKLIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JOHNSTOWN", "country_code": "US", "country_name": "United States", "postal_code": "159054305", "state": "PA", "telephone_number": "814-534-9106" } ], "basic": { "certification_date": "2026-01-05", "credential": "M.D.", "enumeration_date": "2011-08-10", "first_name": "MICHAEL", "last_name": "ANDREWS", "last_updated": "2026-01-05", "middle_name": "CHARLES RICHARD", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1313001670000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "7100648570", "issuer": null, "state": "KY" } ], "last_updated_epoch": "1767630212000", "number": "1063791853", "other_names": [], "practiceLocations": [ { "address_1": "530 S JACKSON ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LOUISVILLE", "country_code": "US", "country_name": "United States", "postal_code": "402021675", "state": "KY", "telephone_number": "502-852-5851" }, { "address_1": "4301 W MARKHAM ST # 532", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LITTLE ROCK", "country_code": "US", "country_name": "United States", "fax_number": "501-686-5935", "postal_code": "722057101", "state": "AR", "telephone_number": "501-686-5311" } ], "taxonomies": [ { "code": "207LC0200X", "desc": "Anesthesiology, Critical Care Medicine", "license": "4301098454", "primary": false, "state": "MI", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "4301098454", "primary": false, "state": "MI", "taxonomy_group": "" }, { "code": "207LC0200X", "desc": "Anesthesiology, Critical Care Medicine", "license": "E-12723", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "4301098454", "primary": true, "state": "MI", "taxonomy_group": "" }, { "code": "207LA0401X", "desc": "Anesthesiology, Addiction Medicine", "license": "4301098454", "primary": false, "state": "MI", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "53179", "primary": false, "state": "KY", "taxonomy_group": "" }, { "code": "207LA0401X", "desc": "Anesthesiology, Addiction Medicine", "license": "E-12723", "primary": false, "state": "AR", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "E-12723", "primary": false, "state": "AR", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "520 WILKES DR STE 13", "address_purpose": "MAILING", "address_type": "DOM", "city": "GREEN RIVER", "country_code": "US", "country_name": "United States", "fax_number": "307-448-2246", "postal_code": "829354854", "state": "WY", "telephone_number": "307-212-6242" }, { "address_1": "520 WILKES DR STE 13", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GREEN RIVER", "country_code": "US", "country_name": "United States", "fax_number": "307-448-2246", "postal_code": "829354854", "state": "WY", "telephone_number": "307-212-6242" } ], "basic": { "authorized_official_credential": "NP", "authorized_official_first_name": "STACY", "authorized_official_last_name": "THOMPSON", "authorized_official_telephone_number": "3072126242", "authorized_official_title_or_position": "Owner/nurse practitioner", "certification_date": "2025-06-10", "enumeration_date": "2019-07-17", "last_updated": "2025-06-10", "organization_name": "BEST CARE FAMILY PRACTICE LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1563412366000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "153196400", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1749565268000", "number": "1710530837", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207Q00000X", "desc": "Family Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208VP0000X", "desc": null, "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "709 E GRAND AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "LARAMIE", "country_code": "US", "country_name": "United States", "postal_code": "820703945", "state": "WY" }, { "address_1": "709 E GRAND AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LARAMIE", "country_code": "US", "country_name": "United States", "postal_code": "820703945", "state": "WY", "telephone_number": "970-688-1975" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "DAVID", "authorized_official_last_name": "HILE", "authorized_official_name_prefix": "Dr.", "authorized_official_telephone_number": "9706881975", "authorized_official_title_or_position": "President", "enumeration_date": "2019-03-28", "last_updated": "2019-03-28", "organization_name": "BLOOMING LEMON WELLNESS AND AESTHETICS, PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1553796032000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1553796032000", "number": "1689135956", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "1620 ELKHORN VALLEY DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-266-4545", "postal_code": "826094654", "state": "WY", "telephone_number": "307-266-4000" }, { "address_1": "6600 E 2ND ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826094348", "state": "WY", "telephone_number": "307-266-4000" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "TODD", "authorized_official_last_name": "HAMMOND", "authorized_official_middle_name": "A", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3072664000", "authorized_official_title_or_position": "PRESIDENT/CEO", "enumeration_date": "2013-05-22", "last_updated": "2013-05-22", "organization_name": "BOTTOM HALF, LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1369234066000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1369234066000", "number": "1033555610", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207L00000X", "desc": "Anesthesiology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "329 MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LANDER", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "825203101", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" } ], "basic": { "certification_date": "2021-07-26", "credential": "M.D.", "enumeration_date": "2009-07-28", "first_name": "ROBERT", "last_name": "CAMPBELL", "last_updated": "2021-07-26", "middle_name": "A", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1248793943000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1627339724000", "number": "1992936710", "other_names": [], "practiceLocations": [ { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "5850 E 2ND ST UNIT 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826094343", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "170 ARROWHEAD DR STE 2", "address_purpose": "LOCATION", "address_type": "DOM", "city": "EVANSTON", "country_code": "US", "country_name": "United States", "postal_code": "829309307", "state": "WY", "telephone_number": "307-212-6270" } ], "taxonomies": [ { "code": "208VP0000X", "desc": null, "license": "8981A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": "8981A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "208100000X", "desc": "Physical Medicine & Rehabilitation", "license": "8981a", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 20970", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-773-8013", "postal_code": "820037020", "state": "WY", "telephone_number": "307-996-4777" }, { "address_1": "2301 HOUSE AVE STE 507", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-638-2074", "postal_code": "820013179", "state": "WY", "telephone_number": "307-635-2562" } ], "basic": { "authorized_official_first_name": "ERIN", "authorized_official_last_name": "PETERSEN", "authorized_official_telephone_number": "3074323664", "authorized_official_title_or_position": "Payer Enrollment Specialist", "certification_date": "2025-10-06", "enumeration_date": "2021-12-10", "last_updated": "2025-10-06", "organization_name": "CHEYENNE REGIONAL PHYSICIANS GROUP, LLC", "organizational_subpart": "YES", "parent_organization_legal_business_name": "CHEYENNE REGIONAL PHYSICIANS GROUP, LLC", "status": "A" }, "created_epoch": "1639164154000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1759784268000", "number": "1902565534", "other_names": [ { "code": "5", "organization_name": "CRMG ORTHOPEDICS AND SURGICAL SPECIALISTS", "type": "Other Name" } ], "practiceLocations": [], "taxonomies": [ { "code": "208600000X", "desc": "Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2086S0105X", "desc": "Surgery, Surgery of the Hand", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363L00000X", "desc": "Nurse Practitioner", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "225100000X", "desc": "Physical Therapist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "363A00000X", "desc": "Physician Assistant", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207X00000X", "desc": "Orthopaedic Surgery", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "2301 HOUSE AVE STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-638-8359", "postal_code": "820013177", "state": "WY", "telephone_number": "307-638-7757" }, { "address_1": "111 S 11TH ST STE 8290", "address_purpose": "MAILING", "address_type": "DOM", "city": "PHILADELPHIA", "country_code": "US", "country_name": "United States", "fax_number": "215-955-0677", "postal_code": "191074824", "state": "PA", "telephone_number": "215-955-2370" } ], "basic": { "certification_date": "2023-08-16", "credential": "MD", "enumeration_date": "2018-06-19", "first_name": "WILLIAM", "last_name": "DENK", "last_updated": "2023-08-16", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1529449392000", "endpoints": [ { "address_1": "214 E 23rd St", "address_type": "DOM", "affiliation": "Y", "affiliationName": "Memorial Hospital of Laramie County", "city": "Cheyenne", "contentType": "CSV", "contentTypeDescription": "CSV", "country_code": "US", "country_name": "United States", "endpoint": "wdenk59061@direct.crmcwy.org", "endpointDescription": "CRMC Direct Address", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "820013748", "state": "WY", "use": "DIRECT", "useDescription": "Direct" }, { "address_1": "214 E 23rd St", "address_type": "DOM", "affiliation": "Y", "affiliationName": "Memorial Hospital of Laramie County", "city": "Cheyenne", "contentType": "CSV", "contentTypeDescription": "CSV", "country_code": "US", "country_name": "United States", "endpoint": "wdenk59061@direct.crmcwy.org", "endpointDescription": "CRMC Direct Address", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "820013748", "state": "WY", "use": "HIE", "useDescription": "Health Information Exchange (HIE)" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1692202599000", "number": "1407340771", "other_names": [], "practiceLocations": [ { "address_1": "111 S 11TH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "PHILADELPHIA", "country_code": "US", "country_name": "United States", "postal_code": "19107", "state": "PA", "telephone_number": "800-533-3669" } ], "taxonomies": [ { "code": "207L00000X", "desc": "Anesthesiology", "license": "MT215921", "primary": false, "state": "PA", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "15773A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "501 S BURMA AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "fax_number": "732-271-3543", "postal_code": "827163426", "state": "WY", "telephone_number": "307-688-1824" }, { "address_1": "PO BOX 3011", "address_purpose": "MAILING", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "fax_number": "307-685-3079", "postal_code": "827173011", "state": "WY", "telephone_number": "307-688-2600" } ], "basic": { "credential": "MD", "enumeration_date": "2006-03-23", "first_name": "NITA", "last_name": "ENGINEER", "last_updated": "2019-01-29", "middle_name": "R.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1143122216000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "100613", "issuer": "PTAN MEDICARE", "state": "NJ" }, { "code": "05", "desc": "MEDICAID", "identifier": "228961", "issuer": null, "state": "SC" } ], "last_updated_epoch": "1548771510000", "number": "1447219852", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207L00000X", "desc": "Anesthesiology", "license": "11594A", "primary": true, "state": "WY", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "22896", "primary": false, "state": "SC", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "22896", "primary": false, "state": "SC", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1909 VISTA DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LARAMIE", "country_code": "US", "country_name": "United States", "fax_number": "307-742-0961", "postal_code": "820705530", "state": "WY", "telephone_number": "307-745-8851" }, { "address_1": "1909 VISTA DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "LARAMIE", "country_code": "US", "country_name": "United States", "fax_number": "307-742-0961", "postal_code": "820705530", "state": "WY", "telephone_number": "307-745-8851" } ], "basic": { "authorized_official_first_name": "JANA", "authorized_official_last_name": "SUAZO", "authorized_official_telephone_number": "3077451415", "authorized_official_title_or_position": "Director of Human Resources", "certification_date": "2021-01-21", "enumeration_date": "2006-01-24", "last_updated": "2021-01-21", "organization_name": "GEM CITY BONE & JOINT PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1138110470000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "106251402", "issuer": null, "state": "WY" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "00832001", "issuer": "BCBS", "state": null }, { "code": "05", "desc": "MEDICAID", "identifier": "106251400", "issuer": null, "state": "WY" }, { "code": "05", "desc": "MEDICAID", "identifier": "38121263", "issuer": null, "state": "CO" } ], "last_updated_epoch": "1611246932000", "number": "1366412397", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "204C00000X", "desc": "Neuromusculoskeletal Medicine, Sports Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2081P2900X", "desc": "Physical Medicine & Rehabilitation, Pain Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208600000X", "desc": "Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208D00000X", "desc": "General Practice", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "225100000X", "desc": "Physical Therapist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "225X00000X", "desc": "Occupational Therapist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "261QR0200X", "desc": "Clinic/Center, Radiology", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "332B00000X", "desc": "Durable Medical Equipment & Medical Supplies", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207X00000X", "desc": "Orthopaedic Surgery", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "1541 DIAMOND DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-215-0898", "postal_code": "826016247", "state": "WY", "telephone_number": "307-232-6649" }, { "address_1": "1541 DIAMOND DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-215-0898", "postal_code": "826016247", "state": "WY", "telephone_number": "307-232-6649" } ], "basic": { "certification_date": "2026-03-24", "credential": "md", "enumeration_date": "2019-03-22", "first_name": "BENGT", "last_name": "GRUA", "last_updated": "2026-03-24", "middle_name": "JOSEPHSON", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1553246576000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1774347790000", "number": "1275093650", "other_names": [], "practiceLocations": [ { "address_1": "1 MEDICAL DR DEPT OF", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LEBANON", "country_code": "US", "country_name": "United States", "postal_code": "037561000", "state": "NH", "telephone_number": "603-650-4356" } ], "taxonomies": [ { "code": "207L00000X", "desc": "Anesthesiology", "license": "21768", "primary": false, "state": "NH", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "17238A", "primary": true, "state": "WY", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "6350 E 2ND ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-215-0898", "postal_code": "826094264", "state": "WY", "telephone_number": "307-232-3235" }, { "address_1": "6350 E 2ND ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-215-0898", "postal_code": "826094264", "state": "WY", "telephone_number": "307-232-3235" } ], "basic": { "certification_date": "2025-10-13", "credential": "MD", "enumeration_date": "2006-01-09", "first_name": "TODD", "last_name": "HAMMOND", "last_updated": "2025-10-13", "middle_name": "A", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1136834505000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "120285500", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1760385438000", "number": "1659359610", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207L00000X", "desc": "Anesthesiology", "license": "7101A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": "7101A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1027 N 27TH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BILLINGS", "country_code": "US", "country_name": "United States", "postal_code": "591010711", "state": "MT", "telephone_number": "801-442-2647" }, { "address_1": "500 ELDORADO BLVD STE 4300", "address_purpose": "MAILING", "address_type": "DOM", "city": "BROOMFIELD", "country_code": "US", "country_name": "United States", "fax_number": "303-272-0390", "postal_code": "800213564", "state": "CO", "telephone_number": "303-272-0566" } ], "basic": { "authorized_official_first_name": "JON", "authorized_official_last_name": "MCDANIEL", "authorized_official_telephone_number": "3032720231", "authorized_official_title_or_position": "VP Finance", "certification_date": "2026-03-26", "enumeration_date": "2025-06-11", "last_updated": "2026-03-26", "organization_name": "INTERMOUNTAIN MEDICAL GROUP DENVER, LLC", "organizational_subpart": "YES", "parent_organization_legal_business_name": "INTERMOUNTAIN FRONT RANGE, INC.", "status": "A" }, "created_epoch": "1749643803000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1774536748000", "number": "1962397828", "other_names": [ { "code": "3", "organization_name": "INTERMOUNTAIN HEALTH CONNECT CARE - SPECIALTY MT", "type": "Doing Business As" }, { "code": "3", "organization_name": "INTERMOUNTAIN HEALTH CONNECT CARE - HIGH RISK CANCER PREVENTION MT", "type": "Doing Business As" }, { "code": "3", "organization_name": "INTERMOUNTAIN HEALTH CONNECT CARE - PAIN MANAGEMENT MT", "type": "Doing Business As" }, { "code": "3", "organization_name": "INTERMOUNTAIN HEALTH CONNECT CARE - SPECIALTY WY", "type": "Doing Business As" }, { "code": "3", "organization_name": "INTERMOUNTAIN HEALTH CONNECT CARE - HIGH RISK CANCER PREVENTION WY", "type": "Doing Business As" }, { "code": "3", "organization_name": "INTERMOUNTAIN HEALTH CONNECT CARE - PAIN MANAGEMENT WY", "type": "Doing Business As" } ], "practiceLocations": [ { "address_1": "424 YELLOWSTONE AVE STE 130", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "postal_code": "824149309", "state": "WY", "telephone_number": "801-442-5502" } ], "taxonomies": [ { "code": "2081P2900X", "desc": "Physical Medicine & Rehabilitation, Pain Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RI0200X", "desc": "Internal Medicine, Infectious Disease", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "1909 VISTA DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "LARAMIE", "country_code": "US", "country_name": "United States", "fax_number": "307-742-0961", "postal_code": "82070", "state": "WY", "telephone_number": "307-745-8851" }, { "address_1": "1909 VISTA DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LARAMIE", "country_code": "US", "country_name": "United States", "fax_number": "307-742-0961", "postal_code": "82070", "state": "WY", "telephone_number": "307-745-8851" } ], "basic": { "credential": "MD", "enumeration_date": "2006-01-18", "first_name": "MICHAEL", "last_name": "KAPLAN", "last_updated": "2007-07-08", "middle_name": "CHARLES", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1137606569000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "113020000", "issuer": null, "state": "WY" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "200029842", "issuer": "Railroad Medicare", "state": null }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "304307", "issuer": "BCBS", "state": null } ], "last_updated_epoch": "1183947785000", "number": "1750361606", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "2081P2900X", "desc": "Physical Medicine & Rehabilitation, Pain Medicine", "license": "6048A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 3703", "address_purpose": "MAILING", "address_type": "DOM", "city": "PINEDALE", "country_code": "US", "country_name": "United States", "fax_number": "559-436-5221", "postal_code": "936503703", "state": "CA", "telephone_number": "559-436-0871" }, { "address_1": "6550 E 2ND ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "559-436-5221", "postal_code": "826094321", "state": "WY", "telephone_number": "559-436-0871" } ], "basic": { "authorized_official_credential": "D.O.", "authorized_official_first_name": "KENNETH", "authorized_official_last_name": "WHIPPLE", "authorized_official_middle_name": "J.", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "5594360871", "authorized_official_title_or_position": "President", "enumeration_date": "2013-08-21", "last_updated": "2013-08-21", "organization_name": "KENNETH J. WHIPPLE D.O. PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1377117102000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1377117102000", "number": "1336573716", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "12554", "primary": true, "state": "MT", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 2508", "address_purpose": "MAILING", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "fax_number": "307-800-3487", "postal_code": "824142508", "state": "WY", "telephone_number": "307-250-6849" }, { "address_1": "901 16TH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "fax_number": "307-800-3487", "postal_code": "824143802", "state": "WY", "telephone_number": "307-250-6849" } ], "basic": { "certification_date": "2025-02-13", "credential": "D.O.", "enumeration_date": "2006-08-01", "first_name": "BRADLEY", "last_name": "LOW", "last_updated": "2025-02-13", "middle_name": "LEE", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1154476461000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1739489017000", "number": "1427065739", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207L00000X", "desc": "Anesthesiology", "license": "TL#1520", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "2006018422", "primary": false, "state": "MO", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "TL#1520", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "11837", "primary": true, "state": "MT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "3100 W LAKEWAY RD", "address_2": "SUITE 3", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "fax_number": "307-670-8250", "postal_code": "827186372", "state": "WY", "telephone_number": "307-696-2996" }, { "address_1": "3100 W LAKEWAY RD", "address_2": "STE 3", "address_purpose": "MAILING", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "fax_number": "307-670-8250", "postal_code": "827186373", "state": "WY", "telephone_number": "307-696-2996" } ], "basic": { "credential": "M.D.", "enumeration_date": "2006-07-07", "first_name": "JOHN", "last_name": "MANSELL", "last_updated": "2016-12-27", "middle_name": "L.", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1152285889000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1482884076000", "number": "1972535227", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207L00000X", "desc": "Anesthesiology", "license": "036096773", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "7144A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-786-4016", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" } ], "basic": { "credential": "ARNP", "enumeration_date": "2006-06-15", "first_name": "MEGHAN", "last_name": "MC MACKIN", "last_updated": "2019-02-27", "middle_name": "ANN", "name_prefix": "Ms.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1150424879000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1551301131000", "number": "1316981798", "other_names": [], "practiceLocations": [ { "address_1": "3580 STATE HIGHWAY 414", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LYMAN", "country_code": "US", "country_name": "United States", "fax_number": "307-786-4016", "postal_code": "829370865", "state": "WY", "telephone_number": "307-786-2042" } ], "taxonomies": [ { "code": "208VP0000X", "desc": null, "license": "33624.1314", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "364S00000X", "desc": "Clinical Nurse Specialist", "license": "33624.1314", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "363LA2200X", "desc": "Nurse Practitioner, Adult Health", "license": "33624.1314", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "329 MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LANDER", "country_code": "US", "country_name": "United States", "postal_code": "825203101", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" } ], "basic": { "certification_date": "2021-07-26", "credential": "RN, MSN, FNP", "enumeration_date": "2006-11-17", "first_name": "RHONDA", "last_name": "MCLAUGHLIN", "last_updated": "2021-07-26", "middle_name": "SUE", "name_prefix": "Mrs.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1163773752000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1627339820000", "number": "1508939307", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208VP0000X", "desc": null, "license": "24849.0904", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": "24849.0904", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "4140 CENTENNIAL HILLS BLVD STE A", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826093265", "state": "WY" }, { "address_1": "4140 CENTENNIAL HILLS BLVD STE A", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-235-6262", "postal_code": "826093265", "state": "WY", "telephone_number": "307-265-7205" } ], "basic": { "certification_date": "2026-04-27", "credential": "MD", "enumeration_date": "2021-03-24", "first_name": "TREVOR", "last_name": "MORDHORST", "last_updated": "2026-04-27", "middle_name": "ROBERT", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1616625040000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1777278506000", "number": "1902483118", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208100000X", "desc": "Physical Medicine & Rehabilitation", "license": "MD61572663", "primary": false, "state": "WA", "taxonomy_group": "" }, { "code": "208100000X", "desc": "Physical Medicine & Rehabilitation", "license": "19724A", "primary": true, "state": "WY", "taxonomy_group": "" }, { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": "19724A", "primary": false, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "984150 NEBRASKA MEDICAL CTR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "OMAHA", "country_code": "US", "country_name": "United States", "fax_number": "402-559-7372", "postal_code": "681984150", "state": "NE", "telephone_number": "402-559-7353" }, { "address_1": "984150 NEBRASKA MEDICAL CTR", "address_purpose": "MAILING", "address_type": "DOM", "city": "OMAHA", "country_code": "US", "country_name": "United States", "fax_number": "402-559-7372", "postal_code": "681984150", "state": "NE", "telephone_number": "402-559-7353" } ], "basic": { "certification_date": "2025-08-01", "credential": "MD", "enumeration_date": "2011-10-21", "first_name": "DAN", "last_name": "NICHOLLS", "last_updated": "2025-08-01", "middle_name": "ARTHUR", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1319217324000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1754081312000", "number": "1699050617", "other_names": [], "practiceLocations": [ { "address_1": "111 S 5TH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "DOUGLAS", "country_code": "US", "country_name": "United States", "postal_code": "826332434", "state": "WY", "telephone_number": "307-358-6200" } ], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "18695A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "945 W BROADWAY AVE APT 202", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "830018217", "state": "WY", "telephone_number": "307-212-6270" } ], "basic": { "authorized_official_first_name": "RANDAL", "authorized_official_last_name": "RUGER", "authorized_official_middle_name": "CHET", "authorized_official_telephone_number": "3072672116", "authorized_official_title_or_position": "Managing Partner", "certification_date": "2020-12-03", "enumeration_date": "2020-12-03", "last_updated": "2020-12-03", "organization_name": "PAIN CARE CENTER LLC", "organizational_subpart": "YES", "parent_organization_legal_business_name": "PAIN CARE CENTER LLC", "status": "A" }, "created_epoch": "1607021422000", "endpoints": [ { "address_1": "945 W Broadway Ave Apt 202", "address_type": "DOM", "affiliation": "N", "city": "Jackson", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "www.paincarecenters.com", "endpointDescription": "web site", "endpointType": "CONNECT", "endpointTypeDescription": "CONNECT URL", "postal_code": "830018217", "state": "WY", "useDescription": "" } ], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "132443800", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1607021422000", "number": "1891390118", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "170 ARROWHEAD DR", "address_2": "SUITE 2", "address_purpose": "LOCATION", "address_type": "DOM", "city": "EVANSTON", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829309307", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" } ], "basic": { "authorized_official_credential": "M.D.", "authorized_official_first_name": "JED", "authorized_official_last_name": "SHAY", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3072126270", "authorized_official_title_or_position": "Physician", "certification_date": "2021-07-26", "enumeration_date": "2017-04-21", "last_updated": "2021-07-26", "organization_name": "PAIN CARE CENTER LLC", "organizational_subpart": "YES", "parent_organization_legal_business_name": "PAIN CARE CENTER LLC", "status": "A" }, "created_epoch": "1492817225000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1627339901000", "number": "1962937441", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" } ], "basic": { "authorized_official_first_name": "CHET", "authorized_official_last_name": "RUGER", "authorized_official_telephone_number": "3072126270", "authorized_official_title_or_position": "Practice Manager", "certification_date": "2023-04-03", "enumeration_date": "2011-08-23", "last_updated": "2023-04-03", "organization_name": "PAIN CARE CENTER, LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1314119755000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "132443800", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1680541384000", "number": "1023398906", "other_names": [], "practiceLocations": [ { "address_1": "15 SHRINE CLUB RD STE B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LANDER", "country_code": "US", "country_name": "United States", "postal_code": "825208502", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "170 ARROWHEAD DR STE 2", "address_purpose": "LOCATION", "address_type": "DOM", "city": "EVANSTON", "country_code": "US", "country_name": "United States", "postal_code": "829309307", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "5850 E 2ND ST UNIT 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826094343", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "4136 LARAMIE ST STE 20", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "postal_code": "820011969", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "1909 VISTA DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LARAMIE", "country_code": "US", "country_name": "United States", "postal_code": "820705530", "state": "WY", "telephone_number": "307-212-6270" } ], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "800 COFFEEN AVE STE B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SHERIDAN", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "828015352", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" } ], "basic": { "authorized_official_first_name": "RANDAL", "authorized_official_last_name": "RUGER", "authorized_official_middle_name": "CHET", "authorized_official_telephone_number": "3072672116", "authorized_official_title_or_position": "Managing Partner", "certification_date": "2024-03-22", "enumeration_date": "2024-03-22", "last_updated": "2024-03-22", "organization_name": "PAIN CARE CENTER, LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1711120803000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1711120803000", "number": "1548020746", "other_names": [ { "code": "3", "organization_name": "PAIN CARE CENTERS", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "208VP0000X", "desc": null, "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "5850 E 2ND ST UNIT 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "826094343", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829014705", "state": "WY", "telephone_number": "130-721-2627" } ], "basic": { "authorized_official_first_name": "CHET", "authorized_official_last_name": "RUGER", "authorized_official_telephone_number": "3072126270", "authorized_official_title_or_position": "Practice Manager", "certification_date": "2021-07-26", "enumeration_date": "2018-09-26", "last_updated": "2021-07-26", "organization_name": "PAIN CARE CENTER, LLC", "organizational_subpart": "YES", "parent_organization_legal_business_name": "PAIN CARE CENTER, LLC", "status": "A" }, "created_epoch": "1537993938000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "=========", "issuer": "TIN", "state": null } ], "last_updated_epoch": "1627339882000", "number": "1376028225", "other_names": [ { "code": "3", "organization_name": "PAIN CARE CENTER", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "261QP3300X", "desc": "Clinic/Center, Pain", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "3490 GABEL RD STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BILLINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "591027389", "state": "MT", "telephone_number": "307-212-6270" } ], "basic": { "authorized_official_first_name": "RANDAL", "authorized_official_last_name": "RUGER", "authorized_official_middle_name": "CHET", "authorized_official_telephone_number": "3072672116", "authorized_official_title_or_position": "Managing Partner", "certification_date": "2026-05-29", "enumeration_date": "2024-06-03", "last_updated": "2026-05-29", "organization_name": "PAIN CARE CENTERS - MT, LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1717417202000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1780057777000", "number": "1932940244", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "332B00000X", "desc": "Durable Medical Equipment & Medical Supplies", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "208VP0000X", "desc": null, "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 20270", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-633-8108", "postal_code": "820037006", "state": "WY", "telephone_number": "307-633-8100" }, { "address_1": "903 S GREELEY HWY", "address_2": "SUITE A", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-633-8108", "postal_code": "820073057", "state": "WY", "telephone_number": "307-633-8100" } ], "basic": { "authorized_official_credential": "M.D.", "authorized_official_first_name": "HARLAN", "authorized_official_last_name": "RIBNIK", "authorized_official_middle_name": "R", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3076338100", "authorized_official_title_or_position": "President", "enumeration_date": "2005-06-30", "last_updated": "2020-08-22", "organization_name": "PAIN CONSULTANTS OF THE ROCKIES, PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1120161508000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "00653/001", "issuer": "Blue Cross Blue Shield", "state": "WY" } ], "last_updated_epoch": "1598100723000", "number": "1437156809", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "4305A", "primary": true, "state": "WY", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 20270", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-633-8108", "postal_code": "820037006", "state": "WY", "telephone_number": "307-633-8100" }, { "address_1": "903 S GREELEY HWY", "address_2": "SUITE A", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-633-8108", "postal_code": "820073057", "state": "WY", "telephone_number": "307-633-8100" } ], "basic": { "authorized_official_credential": "M.D.", "authorized_official_first_name": "HARLAN", "authorized_official_last_name": "RIBNIK", "authorized_official_middle_name": "R", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3076338100", "authorized_official_title_or_position": "Physician Owner", "enumeration_date": "2005-06-30", "last_updated": "2020-08-22", "organization_name": "PAIN TREATMENT CENTER OF WYOMING, LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1120161836000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "311983", "issuer": "Blue Cross Blue Shield", "state": "WY" } ], "last_updated_epoch": "1598100723000", "number": "1598762965", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": "4305A", "primary": true, "state": "WY", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "2695 ROCKY MOUNTAIN AVE STE 150", "address_purpose": "MAILING", "address_type": "DOM", "city": "LOVELAND", "country_code": "US", "country_name": "United States", "postal_code": "805389071", "state": "CO" }, { "address_1": "5050 POWDERHOUSE RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-634-1271", "postal_code": "820094800", "state": "WY", "telephone_number": "307-634-1311" } ], "basic": { "authorized_official_first_name": "JANA", "authorized_official_last_name": "CONROY", "authorized_official_telephone_number": "3076341311", "authorized_official_title_or_position": "Director of Credentialing", "certification_date": "2026-01-16", "enumeration_date": "2020-06-02", "last_updated": "2026-01-16", "organization_name": "POUDRE VALLEY MEDICAL GROUP, LLC", "organizational_subpart": "YES", "parent_organization_legal_business_name": "POUDRE VALLEY MEDICAL GROUP, LLC", "status": "A" }, "created_epoch": "1591101226000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1768567603000", "number": "1346864790", "other_names": [ { "code": "3", "organization_name": "UCHEALTH MEDICAL GROUP", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "207Y00000X", "desc": "Otolaryngology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RE0101X", "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0000X", "desc": "Internal Medicine, Cardiovascular Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2086S0129X", "desc": null, "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2084N0400X", "desc": "Psychiatry & Neurology, Neurology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208VP0000X", "desc": null, "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RP1001X", "desc": "Internal Medicine, Pulmonary Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207Q00000X", "desc": "Family Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 3108", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829023108", "state": "WY", "telephone_number": "970-749-3238" }, { "address_1": "4401 COLLEGE DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829013507", "state": "WY", "telephone_number": "307-352-8900" } ], "basic": { "certification_date": "2026-03-26", "credential": "MD", "enumeration_date": "2005-09-27", "first_name": "RANDALL", "last_name": "RICE", "last_updated": "2026-03-26", "middle_name": "B", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1127851456000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "01338151", "issuer": null, "state": "CO" } ], "last_updated_epoch": "1774558414000", "number": "1487641130", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208D00000X", "desc": "General Practice", "license": "8168A", "primary": false, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "33815", "primary": false, "state": "CO", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "8168A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "3600 S YOSEMITE ST", "address_2": "STE 330", "address_purpose": "MAILING", "address_type": "DOM", "city": "DENVER", "country_code": "US", "country_name": "United States", "fax_number": "303-736-4147", "postal_code": "802371812", "state": "CO", "telephone_number": "303-268-4040" }, { "address_1": "419 S WASHINGTON ST", "address_2": "STE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "303-736-4147", "postal_code": "826012951", "state": "WY", "telephone_number": "866-356-4040" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "BRADLEY", "authorized_official_last_name": "VILIMS", "authorized_official_middle_name": "D", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8663564040", "authorized_official_title_or_position": "Owner", "enumeration_date": "2007-05-03", "last_updated": "2007-10-03", "organization_name": "ROCKY MOUNTAIN PAIN MANAGEMENT LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1178232906000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "06139001", "issuer": "Blue Cross Blue Shield", "state": "WY" } ], "last_updated_epoch": "1191453874000", "number": "1528270782", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "7671A", "primary": false, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": "7671A", "primary": true, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "5850 E 2ND ST UNIT 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826094343", "state": "WY", "telephone_number": "307-212-6270" } ], "basic": { "certification_date": "2021-07-26", "credential": "PA-C", "enumeration_date": "2009-08-05", "first_name": "JENNIFER", "last_name": "ROSICS", "last_updated": "2021-07-26", "middle_name": "LYNN", "name_prefix": "Miss", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1249508795000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1627339744000", "number": "1356572580", "other_names": [], "practiceLocations": [ { "address_1": "419 S WASHINGTON ST", "address_2": "SUITE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-265-8313", "postal_code": "826012951", "state": "WY", "telephone_number": "307-265-8300" } ], "taxonomies": [ { "code": "208VP0000X", "desc": null, "license": "TL478", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "363AM0700X", "desc": "Physician Assistant, Medical", "license": "TL478", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "101 W 8TH AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "SPOKANE", "country_code": "US", "country_name": "United States", "postal_code": "992042307", "state": "WA" }, { "address_1": "3490 GABEL RD STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BILLINGS", "country_code": "US", "country_name": "United States", "postal_code": "591027389", "state": "MT", "telephone_number": "406-601-8001" } ], "basic": { "certification_date": "2025-08-04", "credential": "MD", "enumeration_date": "2022-04-05", "first_name": "RYAN", "last_name": "RUGER", "last_updated": "2025-08-04", "middle_name": "CHAD", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1649207059000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1754322355000", "number": "1104567825", "other_names": [], "practiceLocations": [ { "address_1": "800 COFFEEN AVE STE B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SHERIDAN", "country_code": "US", "country_name": "United States", "postal_code": "828015352", "state": "WY", "telephone_number": "307-212-6270" } ], "taxonomies": [ { "code": "207R00000X", "desc": "Internal Medicine", "license": "18741A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": "160535", "primary": false, "state": "MT", "taxonomy_group": "" }, { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": "160535", "primary": false, "state": "MT", "taxonomy_group": "" }, { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": "18741A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "2620 COMMERCIAL WAY STE 20", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829014705", "state": "WY", "telephone_number": "307-212-6270" } ], "basic": { "certification_date": "2021-07-26", "credential": "M.D.", "enumeration_date": "2005-08-16", "first_name": "JED", "last_name": "SHAY", "last_updated": "2021-07-26", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1124232114000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "132444600", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1627339786000", "number": "1851383822", "other_names": [], "practiceLocations": [ { "address_1": "329 MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LANDER", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "825203101", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "5850 E 2ND ST UNIT 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "826094343", "state": "WY", "telephone_number": "307-212-6270" }, { "address_1": "170 ARROWHEAD DR STE 2", "address_purpose": "LOCATION", "address_type": "DOM", "city": "EVANSTON", "country_code": "US", "country_name": "United States", "fax_number": "307-212-6271", "postal_code": "829309307", "state": "WY", "telephone_number": "307-212-6270" } ], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "8748A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5372 S GENEVA WAY", "address_purpose": "MAILING", "address_type": "DOM", "city": "ENGLEWOOD", "country_code": "US", "country_name": "United States", "fax_number": "303-721-8444", "postal_code": "801116219", "state": "CO", "telephone_number": "303-694-9223" }, { "address_1": "1401 AIRPORT PKWY", "address_2": "SUITE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-632-4429", "postal_code": "820011518", "state": "WY", "telephone_number": "307-635-4362" } ], "basic": { "credential": "D.O.", "enumeration_date": "2006-08-06", "first_name": "JONATHAN", "last_name": "SINGER", "last_updated": "2025-09-11", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1154836850000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1757623214000", "number": "1265441430", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "204D00000X", "desc": "Neuromusculoskeletal Medicine & OMM", "license": "3675A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207KA0200X", "desc": "Allergy & Immunology, Allergy", "license": "3675A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207Q00000X", "desc": "Family Medicine", "license": "3675A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "2081P2900X", "desc": "Physical Medicine & Rehabilitation, Pain Medicine", "license": "3575A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "2083P0500X", "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine", "license": "3675A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 10490", "address_purpose": "MAILING", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-732-0925", "postal_code": "830020490", "state": "WY", "telephone_number": "307-733-3900" }, { "address_1": "555 E BROADWAY", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-732-0925", "postal_code": "830019496", "state": "WY", "telephone_number": "307-733-3900" } ], "basic": { "credential": "do", "enumeration_date": "2005-08-10", "first_name": "GEOFFREY", "last_name": "SKENE", "last_updated": "2007-07-08", "middle_name": "K", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1123691130000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1183947785000", "number": "1114928223", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208VP0000X", "desc": null, "license": "6266A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 3228", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829023228", "state": "WY", "telephone_number": "307-362-1444" }, { "address_1": "1200 COLLEGE DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829015868", "state": "WY", "telephone_number": "307-325-8329" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "BRANDON", "authorized_official_last_name": "MACK", "authorized_official_middle_name": "VASHON", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3073621444", "authorized_official_title_or_position": "President", "enumeration_date": "2011-09-30", "last_updated": "2011-09-30", "organization_name": "SOUTHWEST PAIN MANAGEMENT INC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1317401647000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1317401647000", "number": "1902180532", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "7706A", "primary": true, "state": "WY", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "109 E 17TH ST STE 25", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "postal_code": "820014548", "state": "WY", "telephone_number": "800-540-6390" }, { "address_1": "1155 F ST NW STE 1050", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WASHINGTON", "country_code": "US", "country_name": "United States", "postal_code": "20004", "state": "DC", "telephone_number": "800-540-6930" } ], "basic": { "authorized_official_first_name": "CALEB", "authorized_official_last_name": "GODING", "authorized_official_name_prefix": "Mr.", "authorized_official_telephone_number": "8005406390", "authorized_official_title_or_position": "Secretary", "enumeration_date": "2018-05-11", "last_updated": "2019-02-04", "organization_name": "SPOT SCRIPT INC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1526047024000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "PME.0010170", "issuer": "Department of Consumer Protection", "state": "CT" } ], "last_updated_epoch": "1549299873000", "number": "1316437775", "other_names": [], "practiceLocations": [ { "address_1": "259 SEVEN FARMS DR STE 301", "address_purpose": "LOCATION", "address_type": "DOM", "city": "DANIEL ISLAND", "country_code": "US", "country_name": "United States", "postal_code": "294928501", "state": "SC", "telephone_number": "800-540-6390" } ], "taxonomies": [ { "code": "208VP0000X", "desc": null, "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "1208 HILLTOP DR STE 203", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-460-7411", "postal_code": "829015859", "state": "WY", "telephone_number": "307-212-9472" }, { "address_1": "1208 HILLTOP DR STE 203", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-460-7411", "postal_code": "829015859", "state": "WY", "telephone_number": "307-212-9472" } ], "basic": { "authorized_official_first_name": "KRISTEN", "authorized_official_last_name": "PREISCH", "authorized_official_telephone_number": "3072129472", "authorized_official_title_or_position": "Administrator", "certification_date": "2020-12-29", "enumeration_date": "2009-09-02", "last_updated": "2020-12-29", "organization_name": "TATUM-MERE HEALTH AND COMMUNITY SERV INC.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1251902511000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "121146000", "issuer": null, "state": "WY" }, { "code": "05", "desc": "MEDICAID", "identifier": "131487400", "issuer": null, "state": "WY" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "W22909", "issuer": "PTAN", "state": null } ], "last_updated_epoch": "1609280886000", "number": "1134352560", "other_names": [ { "code": "3", "organization_name": "SOUTHWEST PAIN MANAGEMENT", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "1208 HILLTOP DR STE 203", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-460-7411", "postal_code": "829015859", "state": "WY", "telephone_number": "307-212-9472" }, { "address_1": "1208 HILLTOP DR STE 203", "address_purpose": "MAILING", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-460-7411", "postal_code": "829015859", "state": "WY", "telephone_number": "307-212-9472" } ], "basic": { "authorized_official_first_name": "KRISTEN", "authorized_official_last_name": "PREISCH", "authorized_official_telephone_number": "3072129472", "authorized_official_title_or_position": "Administrator", "certification_date": "2020-12-29", "enumeration_date": "2011-06-01", "last_updated": "2020-12-29", "organization_name": "TATUM-MERE HEALTH AND COMMUNITY SERVICES INC.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1306948272000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "124146000", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1609280220000", "number": "1265726871", "other_names": [ { "code": "3", "organization_name": "SOUTHWEST PAIN MANAGEMENT", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "7706A", "primary": true, "state": "WY", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "810 E 23RD ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SIOUX FALLS", "country_code": "US", "country_name": "United States", "postal_code": "571052135", "state": "SD", "telephone_number": "605-331-5890" }, { "address_1": "810 E 23RD STREET", "address_purpose": "MAILING", "address_type": "DOM", "city": "SIOUX FALLS", "country_code": "US", "country_name": "United States", "fax_number": "605-271-7617", "postal_code": "571052135", "state": "SD", "telephone_number": "605-339-6823" } ], "basic": { "certification_date": "2022-09-01", "credential": "MD", "enumeration_date": "2005-08-19", "first_name": "BRENT", "last_name": "THURNESS", "last_updated": "2022-09-01", "middle_name": "ROBERT", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1124460210000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0169359", "issuer": null, "state": "IA" } ], "last_updated_epoch": "1662054082000", "number": "1265424873", "other_names": [], "practiceLocations": [ { "address_1": "216 ANAMARIA DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RAPID CITY", "country_code": "US", "country_name": "United States", "postal_code": "577017366", "state": "SD", "telephone_number": "605-334-2796" }, { "address_1": "501 S BURMA AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "postal_code": "827163426", "state": "WY", "telephone_number": "307-688-1486" } ], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "8016", "primary": true, "state": "SD", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "32309", "primary": false, "state": "IA", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "625 E BROADWAY", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-739-7446", "postal_code": "83002", "state": "WY", "telephone_number": "307-739-7218" }, { "address_1": "PO BOX 13099", "address_purpose": "MAILING", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-739-7446", "postal_code": "830023099", "state": "WY", "telephone_number": "307-739-7218" } ], "basic": { "certification_date": "2021-02-19", "credential": "M.D.", "enumeration_date": "2006-03-23", "first_name": "DAVID", "last_name": "TOMLINSON", "last_updated": "2021-02-19", "middle_name": "J", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1143128273000", "endpoints": [ { "address_1": "625 E Broadway", "address_type": "DOM", "affiliation": "N", "city": "Jackson", "contentOtherDescription": "Other", "contentType": "OTHER", "contentTypeDescription": "Other", "country_code": "US", "country_name": "United States", "endpoint": "dtomlinson@sjmc.cernerdirect.com", "endpointDescription": "Direct Messaging Address for St John's Health", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "83002", "state": "WY", "use": "DIRECT", "useDescription": "Direct" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1613764403000", "number": "1851350292", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207L00000X", "desc": "Anesthesiology", "license": "24055", "primary": false, "state": "SC", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "7591A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "7591A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1541 DIAMOND DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826016247", "state": "WY", "telephone_number": "307-439-1097" }, { "address_1": "PO BOX 100254", "address_purpose": "MAILING", "address_type": "DOM", "city": "GAINESVILLE", "country_code": "US", "country_name": "United States", "fax_number": "352-273-8612", "postal_code": "326100254", "state": "FL", "telephone_number": "352-273-8610" } ], "basic": { "certification_date": "2026-04-08", "credential": "MD", "enumeration_date": "2019-04-09", "first_name": "JACKSON", "last_name": "WAGONER", "last_updated": "2026-04-08", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1554815021000", "endpoints": [ { "address_1": "2600 Sixth St SW", "address_type": "DOM", "affiliation": "N", "city": "Canton", "contentType": "CSV", "contentTypeDescription": "CSV", "country_code": "US", "country_name": "United States", "endpoint": "jackson.wagoner@direct.aultman.org", "endpointDescription": "Direct address via employer", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "447101702", "state": "OH", "use": "HIE", "useDescription": "Health Information Exchange (HIE)" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1775670260000", "number": "1689137408", "other_names": [], "practiceLocations": [ { "address_1": "1600 SW ARCHER RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GAINESVILLE", "country_code": "US", "country_name": "United States", "fax_number": "352-273-8612", "postal_code": "326101702", "state": "FL", "telephone_number": "352-273-8610" }, { "address_1": "1501 N CAMPBELL AVE RM 4401", "address_purpose": "LOCATION", "address_type": "DOM", "city": "TUCSON", "country_code": "US", "country_name": "United States", "postal_code": "857240001", "state": "AZ", "telephone_number": "520-626-7721" }, { "address_1": "2600 SIXTH ST SW", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CANTON", "country_code": "US", "country_name": "United States", "postal_code": "447101702", "state": "OH", "telephone_number": "330-452-9911" } ], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "ME169309", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "69349", "primary": false, "state": "AZ", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "19414A", "primary": true, "state": "WY", "taxonomy_group": "" }, { "code": "207L00000X", "desc": "Anesthesiology", "license": "ME169309", "primary": false, "state": "FL", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "50 MARIO CAPECCHI DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SALT LAKE CITY", "country_code": "US", "country_name": "United States", "postal_code": "841320001", "state": "UT", "telephone_number": "801-581-2121" }, { "address_1": "PO BOX 20970", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-638-5359", "postal_code": "820037020", "state": "WY", "telephone_number": "307-638-7757" } ], "basic": { "certification_date": "2022-11-04", "credential": "M.D.", "enumeration_date": "2008-11-04", "first_name": "NATALIE", "last_name": "WINTER", "last_updated": "2022-11-04", "middle_name": "BEST", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1225825090000", "endpoints": [ { "address_1": "214 E 23rd St", "address_type": "DOM", "affiliation": "Y", "affiliationName": "Memorial Hospital of Laramie County", "city": "Cheyenne", "contentType": "CSV", "contentTypeDescription": "CSV", "country_code": "US", "country_name": "United States", "endpoint": "nwinter11043@direct.crmcwy.org", "endpointDescription": "CRMC Direct Address", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "820013748", "state": "WY", "use": "DIRECT", "useDescription": "Direct" }, { "address_1": "214 E 23rd St", "address_type": "DOM", "affiliation": "N", "city": "Cheyenne", "contentType": "CSV", "contentTypeDescription": "CSV", "country_code": "US", "country_name": "United States", "endpoint": "nwinter11043@direct.crmcwy.org", "endpointDescription": "CRMC Direct Address", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "820013748", "state": "WY", "use": "HIE", "useDescription": "Health Information Exchange (HIE)" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1667609046000", "number": "1285888214", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "7470025-1205-2012010", "primary": false, "state": "UT", "taxonomy_group": "" }, { "code": "207LP2900X", "desc": "Anesthesiology, Pain Medicine", "license": "9398A", "primary": true, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 2098", "address_purpose": "MAILING", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "fax_number": "307-685-8027", "postal_code": "827172098", "state": "WY", "telephone_number": "307-687-7246" }, { "address_1": "2001 W LAKEWAY RD STE D", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "fax_number": "307-685-8027", "postal_code": "827185774", "state": "WY", "telephone_number": "307-687-7246" } ], "basic": { "authorized_official_credential": "M.D.", "authorized_official_first_name": "CHRISTOPHER", "authorized_official_last_name": "FRANDRUP", "authorized_official_middle_name": "J.R.", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3076877246", "authorized_official_title_or_position": "President", "enumeration_date": "2009-04-07", "last_updated": "2009-04-07", "organization_name": "WYOMING INTERVENTIONAL PAIN MANAGEMENT, P.C.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1239139837000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1239139837000", "number": "1427291442", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208VP0014X", "desc": "Pain Medicine, Interventional Pain Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "301 S FENWAY ST STE 201", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-333-0389", "postal_code": "826013053", "state": "WY", "telephone_number": "307-215-9870" }, { "address_1": "301 S FENWAY ST", "address_2": "SUITE 201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-333-0389", "postal_code": "826013051", "state": "WY", "telephone_number": "307-215-9870" } ], "basic": { "authorized_official_credential": "M.D.", "authorized_official_first_name": "DAVID", "authorized_official_last_name": "MARTORANO", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3072159870", "authorized_official_title_or_position": "Psychiatry", "enumeration_date": "2016-11-18", "last_updated": "2016-11-18", "organization_name": "WYOMING PSYCHIATRY, LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1479503724000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1479503724000", "number": "1861935165", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207LA0401X", "desc": "Anesthesiology, Addiction Medicine", "license": "9017a", "primary": false, "state": "WY", "taxonomy_group": "193400000X - Multiple Single Specialty Group" }, { "code": "2084P0802X", "desc": "Psychiatry & Neurology, Addiction Psychiatry", "license": "9017a", "primary": false, "state": "WY", "taxonomy_group": "193400000X - Multiple Single Specialty Group" }, { "code": "208VP0000X", "desc": null, "license": "9017a", "primary": false, "state": "WY", "taxonomy_group": "193400000X - Multiple Single Specialty Group" }, { "code": "2084P0800X", "desc": "Psychiatry & Neurology, Psychiatry", "license": "9017a", "primary": true, "state": "WY", "taxonomy_group": "193400000X - Multiple Single Specialty Group" } ] }, { "addresses": [ { "address_1": "1026 EAST SECOND ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-266-4545", "postal_code": "82601", "state": "WY", "telephone_number": "307-266-4000" }, { "address_1": "1026 EAST SECOND ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-266-4545", "postal_code": "82601", "state": "WY", "telephone_number": "307-266-4000" } ], "basic": { "credential": "MD MPH", "enumeration_date": "2006-01-09", "first_name": "TUENIS", "last_name": "ZONDAG", "last_updated": "2007-07-08", "middle_name": "D", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1136840083000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "117668400", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1183947785000", "number": "1942288931", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "208VP0000X", "desc": null, "license": "6673A", "primary": true, "state": "WY", "taxonomy_group": "" } ] } ] }