NPIMap

Organization Active NPI

Internal Medicine Group PC

  • Ambulatory Surgical Clinic/Center
  • Cheyenne, WY
National Provider Identifier
1215073705
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INTERNAL MEDICINE GROUP PC
Practice address
7212 Commons Cir
Cheyenne, WY 82009-2667
Phone
(307) 635-4141
Fax
(307) 635-6587
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Kenneth R Kranz, MDNPI 1740222462
Title
President
Phone
(307) 635-4141

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

7212 Commons Cir
Cheyenne, WY 82009-2667

Mailing address

7212 Commons Cir
Cheyenne, WY 82009-2667
Phone (307) 635-4141

Other identifiers 1

IdentifierTypeStateIssuer
106240900MedicaidWY

National Provider Directory

National Provider Directory

Locations

2301 House Ave
Ste 300
Cheyenne, WY 82001
Phone (307) 432-3840

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1215073705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 COMMONS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820092667",
            "telephone_number": "307-635-4141",
            "fax_number": "307-635-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 COMMONS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820092667",
            "telephone_number": "307-635-4141",
            "fax_number": "307-635-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "KRANZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-635-4141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106240900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.