Organization Active NPI

Roberto Fars, MD PC

  • Internal Medicine Physician
  • Sheridan, WY
National Provider Identifier
1275755217
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6773A Issued in WY
Legal business name
ROBERTO FARS, MD PC
Practice address
813 Highland Ave
Sheridan, WY 82801-2729
Phone
(307) 673-5501
Fax
(307) 673-5434
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Roberto Fars, M.D.NPI 1417053836
Title
President Owner
Phone
(307) 673-5501

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 6773A WY Primary

Addresses

Primary practice location

813 Highland Ave
Sheridan, WY 82801-2729

Mailing address

813 Highland Ave
Sheridan, WY 82801-2729
Phone (307) 673-5501

Other identifiers 1

IdentifierTypeStateIssuer
311706OtherWYBLUE CROSS

National Provider Directory

National Provider Directory

Locations

813 Highland Ave
Sheridan, WY 82801
Phone (307) 277-3867

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1275755217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HIGHLAND AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012729",
            "telephone_number": "307-673-5501",
            "fax_number": "307-673-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 HIGHLAND AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012729",
            "telephone_number": "307-673-5501",
            "fax_number": "307-673-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO FARS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "FARS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "307-673-5501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "6773A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "311706",
            "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 Jun 16, 2009; 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.