NPIMap

Organization Active NPI

Riverton Physician Practices LLC

Doing business as Wind River Oncology

  • Medical Oncology Physician
  • Riverton, WY
National Provider Identifier
1083865554
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
RIVERTON PHYSICIAN PRACTICES LLC
Doing business as
Wind River Oncology
Practice address
1035 Rose LN
Suite D
Riverton, WY 82501-2286
Phone
(307) 856-4688
NPI assigned
Oct 2, 2008
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Mr. William M. Gracey
Title
Coo
Phone
(615) 372-8500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X
Medical Oncology Physician 207RX0202X Primary

Addresses

Primary practice location

1035 Rose LN
Suite D
Riverton, WY 82501-2286

Mailing address

PO Box 758
Post Falls, ID 83877-0758
Phone (208) 773-6400

Other names 1

  • Wind River Oncology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverton Physician Practices LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1083865554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838770758",
            "telephone_number": "208-773-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ROSE LN",
            "address_2": "SUITE D",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012286",
            "telephone_number": "307-856-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTON PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "GRACEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-372-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wind River Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.