Organization Active NPI

Mdportal Network LLC

  • Case Management Agency
  • Casper, WY
National Provider Identifier
1194554998
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MDPORTAL NETWORK LLC
Practice address
5830 E 2ND St Ste 7000
Casper, WY 82609-4308
Phone
(929) 282-4020
Fax
(929) 282-4020
NPI assigned
Jul 30, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Matthew Sessa
Title
Authorizing Representative
Phone
(929) 282-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

5830 E 2ND St Ste 7000
Casper, WY 82609-4308

Mailing address

5830 E 2ND St Ste 7000
Casper, WY 82609-4308
Phone (929) 282-4020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1194554998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 E 2ND ST STE 7000",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "929-282-4020",
            "fax_number": "929-282-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 E 2ND ST STE 7000",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "929-282-4020",
            "fax_number": "929-282-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDPORTAL NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "SESSA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "AUTHORIZING REPRESENTATIVE",
        "authorized_official_telephone_number": "929-282-4020"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.