Individual provider Active NPI

Jeffrey Ryan Harman, MD

  • Family Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1134866395
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209-T1 Issued in WY
Practice address
821 E 18TH St
Cheyenne, WY 82001-4775
Phone
(307) 777-7911
NPI assigned
May 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209-T1 WY Primary

Addresses

Primary practice location

821 E 18TH St
Cheyenne, WY 82001-4775

Mailing address

821 E 18TH St
Cheyenne, WY 82001-4775
Phone (307) 777-7911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250905000341 WY Practitioner - Family Practice 1456705870 Reassigns benefits to 1 organization
I20260605001333 UT Practitioner - Family Practice 1456705870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exodus Healthcare Network PLLCGroup PAC ID 1456265057, 25 clinicians
University of WyomingGroup PAC ID 4183607054, 40 clinicians

Practice addresses (Care Compare)

3665 S 8400
Suite 110
Magna, UT 84044-4907
Phone (801) 250-9638

820 E 17TH St
Cheyenne, WY 82001-4714
Phone (307) 431-5055

Hospital & facility affiliations

  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
209-T1WYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wyoming Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
University of Wyoming Speech and Hearing Clinic CurrentSince Jul 1, 2025 Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients

Locations

820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055

821 E 18th St
Cheyenne, WY 82001
Phone (307) 632-2434

2710 Harney St
Ste 202
Laramie, WY 82072
Phone (307) 742-3242

Networks

  • UT PPO
  • UT PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: jeffrey.harman.1@30244.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1134866395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E 18TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014775",
            "telephone_number": "307-777-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E 18TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014775",
            "telephone_number": "307-777-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMAN",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "209-T1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.