Organization Active NPI

North Cheyenne Medical

Doing business as North Cheyenne Family Medicine

  • Primary Care Clinic/Center
  • Cheyenne, WY
National Provider Identifier
1023553799
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NORTH CHEYENNE MEDICAL
Doing business as
North Cheyenne Family Medicine
Practice address
6015 Sycamore Rd
1St Floor
Cheyenne, WY 82009-4347
Phone
(307) 514-1300
NPI assigned
Jan 4, 2017
Last updated
Jan 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Ziad SkafNPI 1659815173
Title
Cfo
Phone
(307) 277-9424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

6015 Sycamore Rd
1St Floor
Cheyenne, WY 82009-4347

Mailing address

428 S Durbin St Ste 104
Casper, WY 82601-2818
Phone (307) 337-4284

Other names 1

  • North Cheyenne Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

6015 Sycamore Rd
Fl 1
Cheyenne, WY 82009
Phone (307) 514-1300

Practitioners & affiliated clinicians

Practitioners 1

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": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1023553799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S DURBIN ST STE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012818",
            "telephone_number": "307-337-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 SYCAMORE RD",
            "address_2": "1ST FLOOR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094347",
            "telephone_number": "307-514-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHEYENNE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "SKAF",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-277-9424"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Cheyenne Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.