Active NPI
Western Medical Associates, LLC
- Family Medicine Physician
- Casper, WY
National Provider Identifier
1275583965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WESTERN MEDICAL ASSOCIATES, LLC
- Doing business as
- Western Medical Associates, LLC
- Practice address
- 6500 E 2ND St
Suite 200
Casper, WY 82609-4321 - Phone
- (307) 577-5100
- Fax
- (307) 233-0610
- NPI assigned
- May 11, 2006
- Last updated
- Aug 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Ce Anderson, CPC
- Title
- Business Office Manager
- Phone
- (307) 577-5100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6500 E 2ND St
Suite 200
Casper, WY 82609-4321
Mailing address
6500 E 2ND St
Suite 200
Casper, WY 82609-4321
Phone (307) 577-5100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05908001 | Other | BLUE CROSS / BLUE SHIELD | |
| 611665900 | Other | WY | DOL CLINIC NUMBER |
| 121899900 | Medicaid | WY |
Other names 1
- Western Medical Associates, LLC
National Provider Directory
National Provider DirectoryLocations
3230 Cy Ave
Casper, WY 82604
Phone (307) 577-5100
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Casper, WY
- NPI 1841249901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597104000000",
"number": "1275583965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 E 2ND ST",
"address_2": "SUITE 200",
"city": "CASPER",
"state": "WY",
"postal_code": "826094321",
"telephone_number": "307-577-5100",
"fax_number": "307-233-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 E 2ND ST",
"address_2": "SUITE 200",
"city": "CASPER",
"state": "WY",
"postal_code": "826094321",
"telephone_number": "307-577-5100",
"fax_number": "307-233-0610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "CE",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "307-577-5100",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "05908001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL CLINIC NUMBER",
"identifier": "611665900",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121899900",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Western Medical Associates, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Casper, WY
- Kevin West
- Sheri L Wester, PH.D., LPC
- Western Ambulatory Surgery LLC
- Western Medical and Neuroscience (Western Medical Associates, LLC)
- Western Medical Associates, L.L.C. Diagnostics and Imaging
- Olyvia Weston, MD
- Westside Womens Clinic LLC
- James Lewis Wetzel Jr., D.D.S.
- David B Wheeler, MD PHD
- Frank R Wheeler, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.