Pauljordanwashburnmd, LLC.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

10738A Issued in WY

Legal business name

PAULJORDANWASHBURNMD, LLC.

Practice address

5720 Osage Ave
3-301
Cheyenne, WY 82009-3948

Phone

(970) 518-9394

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Paul Jordan Washburn, MD, MPH

Title

Own, Physician

Phone

(970) 518-9394

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1114452166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 OSAGE AVE",
            "address_2": "3-301",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093948",
            "telephone_number": "970-518-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 OSAGE AVE",
            "address_2": "3-301",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093948",
            "telephone_number": "970-518-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULJORDANWASHBURNMD, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWN, PHYSICIAN",
        "authorized_official_telephone_number": "970-518-9394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WY",
            "license": "10738A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Patton
• Paul J. Steele, D.D.S.,P.C.
• Birgitt J Paul, BSN RN
• Cynthia Paul, BSW CSW
• Krista Joy Paul, RN
• Tammi Jo Paulsen
• Kathleen Paulson
• John B Paulus, D.O.
• Ram Pavani
• Shelleste Payne, RN

• Multi-Specialty Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Multi-Specialty Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.