Individual provider Active NPI

James R Taylor, M.D.

  • Diagnostic Radiology Physician
  • Riverton, WY
National Provider Identifier
1265455117
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5665A Issued in WY
Practice address
1001 W Main Street
Riverton, WY 82501-3230
Phone
(307) 856-6530
Fax
(307) 856-7629
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 5665A WY
Vascular & Interventional Radiology Physician 2085R0204X 5665A WY
Diagnostic Ultrasound Physician 2085U0001X 5665A WY
Diagnostic Radiology Physician 2085R0202X 5665A WY Primary

Addresses

Primary practice location

1001 W Main Street
Riverton, WY 82501-3230

Mailing address

1001 W. Main St. Fremont Radiology
Riverton, WY 82501-3230
Phone (307) 856-6530

Other identifiers 1

IdentifierTypeStateIssuer
111321600MedicaidWY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000923 WY Practitioner - Diagnostic Radiology 1153378054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fremont Radiology, PCGroup PAC ID 6002899010, 2 clinicians

Practice addresses (Care Compare)

1001 W Main St
Riverton, WY 82501-3230
Phone (307) 856-6530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5665AWYMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs County Hospital District CurrentSince Mar 3, 1997 Accepting new patients
Wyoming Family Sonography, LLC Diagnostic Ultrasound CurrentSince Aug 1, 2014 Accepting new patients
Fremont Radiology, PC Diagnostic Radiology CurrentSince Jan 1, 1966 Accepting new patients
Hot Springs County Hospital District CurrentSince Mar 3, 1997 Accepting new patients
Crook County Medical Services District Past Accepting new patients
Cheyenne Radiology Group Past Accepting new patients

Locations

1001 W Main St
Ste 2
Riverton, WY 82501
Phone (307) 438-9844

1001 W Main St
Riverton, WY 82501
Phone (307) 856-6530

120 N C Ave
Thermopolis, WY 82443
Phone (307) 864-5534

150 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-3121

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1265455117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W. MAIN ST. FREMONT RADIOLOGY",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013230",
            "telephone_number": "307-856-6530",
            "fax_number": "307-856-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN STREET",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013230",
            "telephone_number": "307-856-6530",
            "fax_number": "307-856-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "WY",
            "license": "5665A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WY",
            "license": "5665A",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "WY",
            "license": "5665A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "5665A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111321600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

Verify at the official NPI Registry.