Active NPI
Western Medical Associates, L.L.C. Diagnostics and Imaging
- Radiologic Technologist
- Casper, WY
National Provider Identifier
1235274523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- Legal business name
- WESTERN MEDICAL ASSOCIATES, L.L.C. DIAGNOSTICS AND IMAGING
- Practice address
- 6500 E 2ND St
Suite 100
Casper, WY 82609-4321 - Phone
- (307) 577-5100
- Fax
- (307) 233-0610
- NPI assigned
- Feb 21, 2007
- Organization subpart
- Yes
- Parent organization
- WESTERN MEDICAL AND NEUROSCIENCE ASSOCIATES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Frary, PA-C
- Title
- Managing Partner
- Phone
- (307) 577-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | Primary |
Addresses
Primary practice location
6500 E 2ND St
Suite 100
Casper, WY 82609-4321
Mailing address
6500 E 2ND St
Suite 200
Casper, WY 82609-4321
Phone (307) 577-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05908001 | Other | BLUE CROSS / BLUE SHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- Western Medical and Neuroscience
- Part of
- Western Medical and Neuroscience
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Western Medical Associates, LLC
- Family Nurse Practitioner
- Casper, WY
- NPI 1093878837
Locations
6500 E 2nd St
Ste 100
Casper, WY 82609
Phone (307) 577-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597104000000",
"number": "1235274523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 E 2ND ST",
"address_2": "SUITE 200",
"city": "CASPER",
"state": "WY",
"postal_code": "826094321",
"telephone_number": "307-577-5100",
"fax_number": "307-233-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 E 2ND ST",
"address_2": "SUITE 100",
"city": "CASPER",
"state": "WY",
"postal_code": "826094321",
"telephone_number": "307-577-5100",
"fax_number": "307-233-0610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MEDICAL ASSOCIATES, L.L.C. DIAGNOSTICS AND IMAGING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTERN MEDICAL AND NEUROSCIENCE ASSOCIATES, LLC",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A",
"authorized_official_last_name": "FRARY",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "307-577-5100",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "05908001",
"state": null
}
],
"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 Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.