Craig Lauer, MD – Family Medicine Physician

Key facts

NPI: 1124049333
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 9348 (NH)
Practice address: 400 South 15TH Street
Worland, WY 82401
Phone: (307) 347-5810
Fax: (307) 347-5808
NPI assigned: Jul 22, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 2

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.

Washakie Medical Center Critical Access Hospital · Worland, WY · NPI 1255368593

Medicare reassignment NPD WY
Washakie Medical Center Medicare Defined Swing Bed Hospital Unit · Worland, WY · NPI 1366594988

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WY
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160831003038	WY	Practitioner - Emergency Medicine	4082513528	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Washakie Medical Center		Current since Sep 1, 2016	Accepting new patients
Washakie Medical Center		Current since Sep 1, 2016	Accepting new patients

Locations

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	9348	NH	Yes

Addresses

Primary practice location

400 South 15TH Street
Worland, WY 82401

Mailing address

400 South 15TH Street
Worland, WY 82401
Phone (307) 347-5810

Other identifiers

Identifier	Type	State	Issuer
30009146	Medicaid	NH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2020.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1124049333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTH 15TH STREET",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-5810",
            "fax_number": "307-347-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTH 15TH STREET",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-5810",
            "fax_number": "307-347-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUER",
        "first_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009146",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

All providers in Worland, WY · Family Medicine Physician in Wyoming

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.