Organization Active NPI

Wyoming Interventional Pain Management LLC

  • Pain Clinic/Center
  • Gillette, WY
National Provider Identifier
1083942080
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC
Practice address
1301 W 3Rd St
Gillette, WY 82716-3335
Phone
(307) 682-7819
Fax
(307) 685-8027
NPI assigned
Dec 2, 2009
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Mr. Lowell AmiotteNPI 1043424336
Title
President
Phone
(307) 687-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

1301 W 3Rd St
Gillette, WY 82716-3335

Mailing address

1301 W Third Street
Gillette, WY 82716
Phone (307) 687-7246

National Provider Directory

National Provider Directory

Locations

1301 W 3rd St
Gillette, WY 82716
Phone (307) 682-4551

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12965/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1083942080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W THIRD STREET",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82716",
            "telephone_number": "307-687-7246",
            "fax_number": "307-685-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 3RD ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163335",
            "telephone_number": "307-682-7819",
            "fax_number": "307-685-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "AMIOTTE",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-687-7246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.