NPIMap

Organization Active NPI

Riverton Oncology Practice,LLC

  • Hematology & Oncology Physician
  • Riverton, WY
National Provider Identifier
1104065200
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
RIVERTON ONCOLOGY PRACTICE,LLC
Practice address
1035 Rose LN
Ste D
Riverton, WY 82501-2286
Phone
(307) 856-4688
Fax
(307) 856-1740
NPI assigned
Feb 12, 2009
Organization subpart
Yes
Parent organization
LIFEPOINT HOSPITALS HOLDINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Mr. Donald Bivacca
Title
President
Phone
(307) 856-4688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1035 Rose LN
Ste D
Riverton, WY 82501-2286

Mailing address

PO Box 758
Post Falls, ID 83877-0758
Phone (307) 856-4688

National Provider Directory

National Provider Directory

Locations

1035 Rose Ln
Ste C
Riverton, WY 82501
Phone (307) 856-4688

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1104065200",
    "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": "307-856-4688",
            "fax_number": "307-856-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ROSE LN",
            "address_2": "STE D",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012286",
            "telephone_number": "307-856-4688",
            "fax_number": "307-856-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTON ONCOLOGY PRACTICE,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEPOINT HOSPITALS HOLDINGS",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "BIVACCA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-856-4688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 12, 2009; 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.