Active NPI
Linda Kamil Abujaber-Ammari, MD
- Pediatrics Physician
- Gillette, WY
National Provider Identifier
1124190277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5966A
- Practice address
- 1300 W 4TH St
Gillette, WY 82716 - Phone
- (307) 686-4900
- Fax
- (307) 682-3466
- NPI assigned
- Nov 14, 2006
- Last updated
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5966A | WY | Primary |
Addresses
Primary practice location
1300 W 4TH St
Gillette, WY 82716
Mailing address
1300 W 4TH St
Gillette, WY 82716
Phone (307) 686-4900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112906600 | Medicaid | WY | |
| 83033277100 | Medicaid | NE | |
| 7710230 | Medicaid | SD | |
| 310654 | Other | WY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Pediatrics LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Gillette, WY
- NPI 1508063991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1124190277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W 4TH ST",
"city": "GILLETTE",
"state": "WY",
"postal_code": "82716",
"telephone_number": "307-686-4900",
"fax_number": "307-682-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W 4TH ST",
"city": "GILLETTE",
"state": "WY",
"postal_code": "82716",
"telephone_number": "307-686-4900",
"fax_number": "307-682-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUJABER-AMMARI",
"first_name": "LINDA",
"middle_name": "KAMIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WY",
"license": "5966A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112906600",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83033277100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7710230",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "310654",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.