Individual provider Active NPI

Michael Ross Pieper, D.O.

  • Family Medicine Physician
  • Afton, WY
National Provider Identifier
1174717128
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8284A Issued in WY
Practice address
110 Hospital Lane
Afton, WY 83110-0579
Phone
(307) 885-5852
Fax
(307) 885-5889
NPI assigned
Sep 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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 8284A WY Primary

Addresses

Primary practice location

110 Hospital Lane
Afton, WY 83110-0579

Mailing address

P.O. Box 579
Afton, WY 83110-0579
Phone (307) 885-5852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000786 WY Practitioner - Family Practice 2163568247 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Lincoln County Hospital District Family Medicine CurrentSince Jul 1, 2010 Accepting new patients
North Lincoln County Hospital District CurrentSince Jul 1, 2010 Accepting new patients
North Lincoln County Hospital District Past Accepting new patients

Locations

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

Interoperability endpoints

  • Direct secure messaging: mpieper625872@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1174717128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 579",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831100579",
            "telephone_number": "307-885-5852",
            "fax_number": "307-885-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL LANE",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831100579",
            "telephone_number": "307-885-5852",
            "fax_number": "307-885-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEPER",
        "first_name": "MICHAEL",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "8284A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Afton, WY

Sources for this page

Verify at the official NPI Registry.