William Anthony Harrison, MD
Individual provider Active NPI Internal Medicine Physician · Cheyenne, WY
NPI 1295718013 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1295718013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 5769A (WY)
- Practice address
- 800 E 20TH St
Suite 350
Cheyenne, WY 82001-3859 - Phone
- (307) 996-1560
- Fax
- (307) 996-1565
- NPI assigned
- Nov 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Creighton University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cheyenne Regional Physicians Group LLC
Practice addresses (Care Compare)
4116 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-7961
Hospital & facility affiliations
- Cheyenne Regional Medical Center Home Care Services
- Eden Home Health
- Enhabit Home Health
- Cheyenne Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080131000162 | WY | Practitioner - Internal Medicine | 2961584867 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheyenne Regional Physicians Group, LLC | Current |
Accepting new patients | |
| College Drive Urgent Care LLC | Current |
Accepting new patients | |
| Memorial Hospital of Laramie County | Current |
Accepting new patients | |
| Wops Inc | Current | Accepting new patients | |
| Medi Horizons Inc | Past | Accepting new patients | |
| Cheyenne Children'S Clinic, PC | Past | Accepting new patients |
Locations
800 E 20th St
Cheyenne, WY 82001
Phone (307) 632-6637
4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311
800 E 20th St
Ste 200
Cheyenne, WY 82001
Phone (307) 633-7444
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
5050 Powderhouse Rd
Cheyenne, WY 82009
Phone (307) 634-1311
214 E 23rd St
#C
Cheyenne, WY 82001
800 E 20th St
Ste 350
Cheyenne, WY 82001
Phone (307) 637-7700
2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500
Interoperability endpoints
- wharrison3887@direct.crmcwy.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5769A | WY | Yes |
Addresses
Primary practice location
800 E 20TH St
Suite 350
Cheyenne, WY 82001-3859
Mailing address
PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 996-1560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5769A | Other | WY | STATE LICENSE |
| 110746100 | Medicaid | WY | |
| 710WH95 | Other | WY | SUBSTANCE CONTROL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wharrison3887@direct.crmcwy.org | Direct | Memorial Hospital of Laramie County |
| Direct Messaging Address | wharrison3887@direct.crmcwy.org | Health Information Exchange (HIE) | Memorial Hospital of Laramie County |
Other providers in Cheyenne, WY
- Bill Douglas Harris
- Darcey D Harris
- Francis William Harris
- Melina Deprise Harris
- Hali Harrison
- Kimberly Diane Hart
- Richard W Hart
- Samuel Taylor Hart
- Jennifer Lynne Hartigan
- Shannon Hartley
All providers in Cheyenne, WY · Internal Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.