Active NPI
Valarie L Koval, PA-C
- Medical Physician Assistant
- Sheridan, WY
National Provider Identifier
1245268374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- WY 357
- Practice address
- 1333 W 5TH St
Ste 206
Sheridan, WY 82801 - Phone
- (307) 673-8383
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | WY 357 | WY | Primary |
Addresses
Primary practice location
1333 W 5TH St
Ste 206
Sheridan, WY 82801
Mailing address
1333 W 5TH St
Suite 103
Sheridan, WY 82801-2752
Phone (307) 672-8921
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122418200 | Medicaid | WY | |
| 313957 | Other | WY | BLUE CROSS |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110411000807 | WY | Order and Referring Only - Physician Assistant | 8628090453 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WY 357 | WY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strahan & Associates PC | Past | Accepting new patients | |
| Thomas H Niethammer, MD, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Sheridan, WY
- NPI 1295999019
-
- Specialist
- Sheridan, WY
- NPI 1518994961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1245268374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 W 5TH ST",
"address_2": "SUITE 103",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012752",
"telephone_number": "307-672-8921",
"fax_number": "307-672-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 W 5TH ST",
"address_2": "STE 206",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82801",
"telephone_number": "307-673-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVAL",
"first_name": "VALARIE",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WY",
"license": "WY 357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122418200",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "313957",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.