Backcountry Dox, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BACKCOUNTRY DOX, LLC

Practice address

1320 Morado Dr
Casper, WY 82609

Phone

(307) 258-6618

Fax

(877) 850-2332

NPI assigned

Sep 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Ker, DO

Title

Physician Owner

Phone

(307) 258-6618

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1265047773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 THELMA DR # 440",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092325",
            "telephone_number": "307-258-6618",
            "fax_number": "877-850-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MORADO DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82609",
            "telephone_number": "307-258-6618",
            "fax_number": "877-850-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKCOUNTRY DOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "KER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "307-258-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Mary Ayala, PMHNP
• Mark Thomas Babcock, D.O.
• Patricia Louise Bachand, MSW
• Jennifer Bachler
• Back Enterprises, LLC
• Daphne Lynne Bahmer, BSW, CSW
• Catherine Bailey, OTR/L
• John D Bailey, MD
• Marcus John Bailey
• Paige Elizabeth Bailey

• Family Medicine Physician in Casper, WY
• Providers in Casper, WY by specialty
• Family Medicine Physician in Wyoming

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

Verify at the official NPI Registry.