Organization Active NPI

Sugar Land Walk-in Clinic

  • Urgent Care Clinic/Center
  • Sheridan, WY
National Provider Identifier
1275070708
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
5548A Issued in WY
Legal business name
SUGAR LAND WALK-IN CLINIC
Practice address
1005 Sugarland Dr
Sheridan, WY 82801
Phone
(307) 751-2765
NPI assigned
Jan 23, 2017
Last updated
Sep 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
Irving Robinson, M.D.NPI 1417096595
Title
Owner/Director
Phone
(307) 751-2765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 5548A WY Primary

Addresses

Primary practice location

1005 Sugarland Dr
Sheridan, WY 82801

Mailing address

2007 Summit Dr
Sheridan, WY 82801-4534
Phone (307) 751-2765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170821003195 WY Part B Supplier - Clinic/Group Practice 8921370289 Receives reassigned benefits from 4 practitioners
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Locations

1005 Sugarland Dr
Sheridan, WY 82801
Phone (307) 675-7777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1275070708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 SUMMIT DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014534",
            "telephone_number": "307-751-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-751-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR LAND WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "IRVING",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "307-751-2765",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WY",
            "license": "5548A",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.