Ninak Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6084A Issued in WY

Legal business name

NINAK INC.

Practice address

170 E Broadway
Jackson, WY 82001-9906

Phone

(307) 203-9239

NPI assigned

May 13, 2010

Last updated

May 13, 2010By 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

Mr. Michael John Lee, M.D.,

Title

Family Practice

Phone

(307) 203-9239

Specialties & licenses 1

Addresses

Tax ID family

Ninak Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ninak Inc

  • Clinical Medical Laboratory
  • Cheyenne, WY
  • NPI 1326354333
  NPD tax ID

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1033437132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23371 MULHOLLAND DR",
            "address_2": "STE 327",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642734",
            "telephone_number": "307-203-9239",
            "fax_number": "877-332-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "820019906",
            "telephone_number": "307-203-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINAK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "307-203-9239",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "6084A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mickie Newby, LMSW
• Francis William Nicholson, PEER SPECIALIST
• Nicole Rue, Psy.D., LLC
• Sarah Niederbuhl, P.T., D.P.T., O.C.S.
• Sohrob Nimrouzi
• Andrea G Noakes
• Kelloway Dee Norton, FNP-C
• Emily Kathryn Novak, PCSW
• Kathryn Manning Noyes, MD
• Nurse Kaysha LLC (Nurse Kaysha Home Health Services)

• Family Medicine Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.