Antelope Medical Consultants LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

5853A Issued in WY

Legal business name

ANTELOPE MEDICAL CONSULTANTS LLC

Practice address

430 S Medical Arts CT
Gillette, WY 82716-3364

Phone

(307) 682-7661

Fax

(307) 682-5074

NPI assigned

Dec 8, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Anne Malody, M.D.NPI 1134224967

Title

Owner

Phone

(307) 682-7661

Specialties & licenses 3

Addresses

Practitioners 3

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.

• Lisa Anne Malody, M.D.

  • Internal Medicine Physician
  • Billings, MT
  • NPI 1134224967
  NPD (past) Authorized official
• Laurence William Vale Deboer, M.D.

  • Cardiovascular Disease Physician
  • Gillette, WY
  • NPI 1043315872
  NPD (past)
• Kenneth Wayne Sickel, PA-C

  • Physician Assistant
  • Sheridan, WY
  • NPI 1780821116
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124188545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S MEDICAL ARTS CT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163364",
            "telephone_number": "307-682-7661",
            "fax_number": "307-682-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MEDICAL ARTS CT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163364",
            "telephone_number": "307-682-7661",
            "fax_number": "307-682-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MALODY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-682-7661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "5806A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "5853A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "18882.269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Jake Andrew, PT, DPT
• Thomas Todd Andrew, M.D.
• Gwen A Andrews, PSS
• Annyah Home Case Management Process
• Annyah Home LLC
• Aoc Medical LLC
• Cheryl Leone Archer
• Casey Armstrong, PHARMD
• Matthew David Arnio, D.C.
• Aspire Counseling, LLC

• Cardiovascular Disease Physician in Gillette, WY
• Providers in Gillette, WY by specialty
• Cardiovascular Disease Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.