John D Ferris PC

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

Organization subpart

No

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

Authorized official

Name

John D Ferris, MD

Title

Owner

Phone

(307) 856-0009

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010062665",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108971400",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89334841",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC  BS OF KS",
            "identifier": "0000563350",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91021394",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorden Steven James, DPT
• Orren P Janis Sr., LSP
• Jerry S Jarrard, MD
• Jason Lovell
• Mary Jo Jeffres, PH.D.
• Sara A Johnson-Higgs, PHARMD
• Lee Ann Johnson
• Matthew Robert Johnson, DC
• Mitchell Troy Johnson, P.T.
• Patricia E Johnson, M.A.

• General Practice Physician in Riverton, WY
• Providers in Riverton, WY by specialty
• General Practice Physician in Wyoming

• 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.