Individual provider Active NPI

William O Sarette, MD

  • Pediatrics Physician
  • Rock Springs, WY
National Provider Identifier
1093875494
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8429A Issued in WY
Practice address
1200 College Dr
Rock Springs, WY 82901-5868
Phone
(307) 362-3711
Fax
(307) 352-8454
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD2006-0577 NM
Pediatrics Physician 208000000X 35845 AZ
Pediatrics Physician 208000000X 8429A WY Primary

Addresses

Primary practice location

1200 College Dr
Rock Springs, WY 82901-5868

Mailing address

PO Box 1359
Rock Springs, WY 82902-1359
Phone (307) 362-3711

Other practice location 1

75 Colonia De Salud Ste 100C
Sierra Vista, AZ 85635-2485
Phone (520) 452-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, AZ, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130419000110 WY Practitioner - Pediatric Medicine 4183860059 Reassigns benefits to 2 organizations
I20210302001858 AZ Practitioner - Pediatric Medicine 4183860059 Reassigns benefits to 1 organization
I20250414001847 OR Practitioner - Pediatric Medicine 4183860059 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2006-0577NMMDPediatrics Physician
35735CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC Pediatrics CurrentSince Nov 26, 2020 Accepting new patients
Mid-Columbia Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Feb 13, 2013 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Feb 13, 2013 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Mid-Columbia Medical Center Pediatrics CurrentSince Apr 1, 2025 Accepting new patients
Commonspirit Oregon Past Accepting new patients

Locations

5750 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

75 Colonia de Salud
Ste 100C
Sierra Vista, AZ 85635
Phone (520) 452-0144

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1935 E 19th St
The Dalles, OR 97058
Phone (541) 223-9018

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1093875494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829021359",
            "telephone_number": "307-362-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015868",
            "telephone_number": "307-362-3711",
            "fax_number": "307-352-8454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Colonia De Salud Ste 100C",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352485",
            "country_code": "US",
            "telephone_number": "520-452-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARETTE",
        "first_name": "WILLIAM",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2006-0577",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "35845",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "8429A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.