Organization Active NPI

John D Ferris PC

  • General Practice Physician
  • Riverton, WY
National Provider Identifier
1124153986
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2139A Issued in WY
Legal business name
JOHN D FERRIS PC
Practice address
300 N Broadway Ave
Riverton, WY 82501-3545
Phone
(307) 856-0009
NPI assigned
Feb 22, 2007
Last updated
Aug 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
John D Ferris, MDNPI 1447439872
Title
Owner
Phone
(307) 856-0009

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 2139A WY Primary

Addresses

Primary practice location

300 N Broadway Ave
Riverton, WY 82501-3545

Mailing address

300 N Broadway Ave
Riverton, WY 82501-3545
Phone (307) 856-0009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1124153986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N BROADWAY AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013545",
            "telephone_number": "307-856-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N BROADWAY AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013545",
            "telephone_number": "307-856-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D FERRIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-856-0009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "WY",
            "license": "2139A",
            "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 Aug 21, 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.