Organization Active NPI

Rock Springs Family Practice Inc

  • Family Medicine Physician
  • Rock Springs, WY
National Provider Identifier
1023169778
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROCK SPRINGS FAMILY PRACTICE INC
Practice address
1208 Hilltop Dr
Suite 205
Rock Springs, WY 82901-5857
Phone
(307) 362-0083
Fax
(307) 362-0084
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. James C Poyer, PH.D.
Title
Administrator
Phone
(307) 362-0083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1208 Hilltop Dr
Suite 205
Rock Springs, WY 82901-5857

Mailing address

1208 Hilltop Dr
Suite 205
Rock Springs, WY 82901-5857
Phone (307) 362-0083

Other identifiers 1

IdentifierTypeStateIssuer
123611300MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000777 WY Part B Supplier - Clinic/Group Practice 6103828330 Receives reassigned benefits from 2 practitioners
Practice locations: Rock Springs, WY

National Provider Directory

National Provider Directory

Locations

1208 Hilltop Dr
Ste 205
Rock Springs, WY 82901
Phone (307) 362-0083

1204 Hilltop Dr
Ste 107
Rock Springs, WY 82901
Phone (307) 362-0083

1180 College Dr
Ste 32
Rock Springs, WY 82901
Phone (307) 362-0083

1108 College Dr Ste 32
Rock Springs, WY 82901

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1023169778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR",
            "address_2": "SUITE 205",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015857",
            "telephone_number": "307-362-0083",
            "fax_number": "307-362-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR",
            "address_2": "SUITE 205",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015857",
            "telephone_number": "307-362-0083",
            "fax_number": "307-362-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK SPRINGS FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "POYER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-362-0083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123611300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.