Individual provider Active NPI

Philip Gard, DO

  • Family Medicine Physician
  • Casper, WY
National Provider Identifier
1043955909
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201-T1 Issued in WY
Practice address
1522 E a St
Casper, WY 82601-2221
Phone
(307) 234-6161
NPI assigned
May 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 108574-146 WY
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 201-T1 WY Primary

Addresses

Primary practice location

1522 E a St
Casper, WY 82601-2221

Mailing address

1522 E a St
Casper, WY 82601-2221
Phone (307) 234-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107002405 WY Practitioner - Family Practice 8426548447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians
Hot Springs County Hospital DistrictGroup PAC ID 9234020439, 21 clinicians

Practice addresses (Care Compare)

148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146

150 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-5061

Hospital & facility affiliations

  • Hot Springs County Memorial Hospital Hospital, Thermopolis, WY, CCN 531304
  • Cody Regional Health Hospital, Cody, WY, CCN 531312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
108574-146WYMDFamily Medicine Physician
201-T1WYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs County Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Hot Springs County Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Hot Springs County Hospital District Family Medicine Past Accepting new patients

Locations

2002 W Sunset Dr
Ste 2
Riverton, WY 82501
Phone (307) 856-7021

120 N C Ave
Thermopolis, WY 82443
Phone (307) 864-5534

150 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-3121

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1043955909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012221",
            "telephone_number": "307-234-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012221",
            "telephone_number": "307-234-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD",
        "first_name": "PHILIP",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "108574-146",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "201-T1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.