Individual provider Active NPI

Lawrence William O Holleran, MD

  • Surgery Physician
  • Cheyenne, WY
National Provider Identifier
1225004187
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6423A Issued in WY
Practice address
614 W Dale Blvd
Cheyenne, WY 82009-5927
Phone
(307) 286-6840
NPI assigned
Feb 28, 2006
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6423A WY Primary
Surgery Physician 208600000X 26688 CO
Surgery Physician 208600000X 16963 NE

Addresses

Primary practice location

614 W Dale Blvd
Cheyenne, WY 82009-5927

Mailing address

614 W Dale Blvd
Cheyenne, WY 82009-5927
Phone (307) 286-6840

Other identifiers 1

IdentifierTypeStateIssuer
115489300MedicaidWY

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
I20051117000679 WY Practitioner - General Surgery 0345272472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Nebraska College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273

4003 Rawlins St
Suite B
Cheyenne, WY 82001-1800
Phone (307) 637-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Varicose vein removal1-10
Removal of tissue130
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26688COMDSurgery Physician
16963NEMDSurgery Physician
6423AWYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Laramie County CurrentSince Nov 1, 2017 Accepting new patients
Vein Treatment Center of Cheyenne CurrentSince Mar 31, 2005 Accepting new patients
Medical Associates PastSince Sep 10, 2018 Accepting new patients

Locations

123 Western Hills Blvd
Cheyenne, WY 82009
Phone (307) 635-0226

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

4003 Rawlins St
Ste B
Cheyenne, WY 82001
Phone (307) 637-5600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1225004187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W DALE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095927",
            "telephone_number": "307-286-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W DALE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095927",
            "telephone_number": "307-286-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O HOLLERAN",
        "first_name": "LAWRENCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "6423A",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "26688",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "16963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115489300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.