Cheyenne Cardiovascular Consultants, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CHEYENNE CARDIOVASCULAR CONSULTANTS, LLC

Doing business as

Cheyenne Cardiology Associates, LLC

Practice address

2301 House Ave
Suite 301
Cheyenne, WY 82001-3176

Phone

(307) 637-1600

Fax

(307) 637-1699

NPI assigned

Nov 11, 2008

Last updated

May 22, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michele Gautreau

Title

Credentialing Spec.

Phone

(307) 773-8012

Specialties & licenses 1

Addresses

Other names 1

• CHEYENNE CARDIOLOGY ASSOCIATES, LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1003060542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "SUITE 301",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013176",
            "telephone_number": "307-637-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "SUITE 301",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013176",
            "telephone_number": "307-637-1600",
            "fax_number": "307-637-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE CARDIOVASCULAR CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "GAUTREAU",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CREDENTIALING SPEC.",
        "authorized_official_telephone_number": "307-773-8012"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHEYENNE CARDIOLOGY ASSOCIATES, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whiteny Hsiaohui Cheng, PHARMD
• Sarah Chesbro, PHARMD
• Ben Ronald Chesebro, DMD
• Cheyenne Assisted Living & Support
• Cheyenne Cardiovascular & Thoracic Surgery
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• Cheyenne Children's Clinic, PC
• Cheyenne Community Drug Abuse Treatment Council, Inc. (Pathfinder)
• Cheyenne Counseling, LLC
• Cheyenne Eye Clinic, LLC

• Cardiovascular Disease Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Cardiovascular Disease Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.