Lander Valley Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6729A Issued in WY

Legal business name

LANDER VALLEY FAMILY PRACTICE PC

Practice address

930 Buena Vista Dr
Lander, WY 82520-3447

Phone

(307) 438-3122

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Malachi Miller, M.D.

Title

Partner

Phone

(307) 438-3122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1053686758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825200618",
            "telephone_number": "307-438-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BUENA VISTA DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203447",
            "telephone_number": "307-438-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDER VALLEY FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MALACHI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "307-438-3122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "6729A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lander Labs LLC
• Lander Medical Clinic, P.C.
• Lander Medical Clinic, PC
• Lander Regional Hospital
• Lander Valley Ambulatory Surgery Center LLC (Lander Outpatient Surgical Center)
• Lander Valley Medical Center LLC (Lander Valley Medical Center Hospitalists)
• Lander Valley Medical Center LLC (Lander Regional Hospital)
• Lander Valley Medical Center LLC
• Lander Valley Medical Center LLC (Lander Regional Hospital)
• Lander Valley Medical Center LLC (Lander Regional Hospital)

• Family Medicine Physician in Lander, WY
• Providers in Lander, 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 Mar 13, 2012; 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.