Wyoming Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WYOMING MEDICAL

Practice address

220 E Broadway
Jackson, WY 83001

Phone

(307) 413-2087

Fax

(877) 382-7638

NPI assigned

Dec 10, 2010

Organization subpart

No

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

Authorized official

Name

Redeem D Sumicad

Title

President

Phone

(307) 413-2087

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1225331325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 S BRIDLE DR",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019124",
            "telephone_number": "307-413-2087",
            "fax_number": "877-382-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-413-2087",
            "fax_number": "877-382-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "SUMICAD",
        "authorized_official_first_name": "REDEEM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-413-2087"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blane A Woodfin, MD
• Piper Worthington, LCSW
• Kristin Lee Wright
• Shawn Brice Wright, CRNA
• Wyoming Eye Care Inc PC
• Wyoming Medical Group FLLC
• Katharine A Yoler, M.D.
• Jennifer Lynn Yourk
• Ariel Zablocki
• Rebecca Zalewski

• Durable Medical Equipment & Medical Supplies in Jackson, WY
• Providers in Jackson, WY by specialty
• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.