Big Horn Urology PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

5434A Issued in WY

Legal business name

BIG HORN UROLOGY PC

Practice address

340 West Dow Street
Sheridan, WY 82801

Phone

(307) 672-1806

Fax

(307) 672-1808

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Wilson Holst, MDNPI 1295896751

Title

President Big Horn Urology PC

Phone

(307) 672-1806

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr Stephen W Holst MD Other name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc05509_bighornurology

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Wilson Holst, MD

  • Urology Physician
  • Sheridan, WY
  • NPI 1295896751
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1043379472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WEST DOW STREET",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-672-1806",
            "fax_number": "307-672-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WEST DOW STREET",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-672-1806",
            "fax_number": "307-672-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HORN UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT BIG HORN UROLOGY PC",
        "authorized_official_telephone_number": "307-672-1806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "WY",
            "license": "5434A",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CO",
            "license": "2157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109407600",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "306592",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Stephen W Holst MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Big Horn Anesthesia Associates LLC
• Big Horn Health Network
• Big Horn Medical Imaging Center, LLC
• Big Horn Psychological Services LC
• Big Horn Urgent Care, LLC
• Bighorn Mountain Chiropractic & Acupuncture, LLC
• Bighorn Orthodontics LLC
• Bighorn Pediatric Dentistry
• Bighorn Security LLC
• Bighorn Valley Health Center, Incorporated

• Urology Physician in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Urology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.