Western Wyoming Medical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WESTERN WYOMING MEDICAL LLC

Practice address

535 E Main St
Lander, WY 82520-3410

Phone

(318) 372-7510

NPI assigned

Oct 1, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Robert Alan Daugherty

Title

Manager/Owner

Phone

(318) 372-7510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Listed as

Western Wyoming Medical LLCCCN 53C0001025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Claude Barrett Minor, M.D.

  • Surgery Physician
  • Lander, WY
  • NPI 1477589018
  NPD

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1235770249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 HILLCREST DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825209776",
            "telephone_number": "318-372-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203410",
            "telephone_number": "318-372-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WYOMING MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "318-372-7510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Sue Haines Weiss, MD
• Barbara Wellman, FNP-C
• Jason C West, MPT
• Jessica Carol West
• Western Wyoming Medical Clinics LLC
• Holly Elizabeth Weston
• Westward Heights Corp
• Sarah Whipp, DDS
• Broc Codi White, MD
• Wendy White, BS, HS-BCP

• Ambulatory Surgical Clinic/Center in Lander, WY
• Providers in Lander, WY by specialty
• Ambulatory Surgical Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.