Active NPI
Big Horn Family Medicine LLC
- Family Medicine Physician
- Worland, WY
National Provider Identifier
1174764757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8034A
- Legal business name
- BIG HORN FAMILY MEDICINE LLC
- Practice address
- 316 N 10TH St
Worland, WY 82401-2307 - Phone
- (307) 347-8885
- Fax
- (307) 347-2428
- NPI assigned
- Mar 12, 2009
- Last updated
- Mar 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Doyle Zimmerman, MD
- Title
- Owner/Physician
- Phone
- (307) 347-8885
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8034A | WY | Primary |
Addresses
Primary practice location
316 N 10TH St
Worland, WY 82401-2307
Mailing address
316 N 10TH St
Worland, WY 82401-2307
Phone (307) 347-8885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Big Horn Family Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Worland, WY
- NPI 1831450394
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236816000000",
"number": "1174764757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 N 10TH ST",
"city": "WORLAND",
"state": "WY",
"postal_code": "824012307",
"telephone_number": "307-347-8885",
"fax_number": "307-347-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 N 10TH ST",
"city": "WORLAND",
"state": "WY",
"postal_code": "824012307",
"telephone_number": "307-347-8885",
"fax_number": "307-347-2428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG HORN FAMILY MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "DOYLE",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "307-347-8885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WY",
"license": "8034A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worland, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.