Active NPI
Stephen Wilson Holst, MD
- Urology Physician
- Sheridan, WY
National Provider Identifier
1295896751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 5434A
- Practice address
- 340 West Dow Street
Sheridan, WY 82801 - Phone
- (307) 672-1806
- Fax
- (307) 672-1808
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 5434A | WY | Primary |
| Urology Physician | 208800000X | 2157 | CO |
Addresses
Primary practice location
340 West Dow Street
Sheridan, WY 82801
Mailing address
340 West Dow Street
Sheridan, WY 82801
Phone (307) 672-1806
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109407600 | Medicaid | WY | |
| 306592 | Other | WY | BXBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Colorado School of Medicine, Denver, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
340 W Dow St
Sheridan, WY 82801-3831
Phone (307) 672-1806
Hospital & facility affiliations
- Sheridan Memorial Hospital
- Johnson County Healthcare Center
- Billings Clinic Hospital
- Campbell County Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.93 of 100
- Quality
- 81.87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Prostate resection | 18 |
| Removal of skin lesions | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303 | WY | MD | Psychologist |
| 2157 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Horn Urology PC | Urology | Current | Accepting new patients |
Locations
340 W Dow St
Sheridan, WY 82801
Phone (307) 672-1806
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc05509_bighornurology
Organizations & group practices 1
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.
-
- Urology Physician
- Sheridan, WY
- NPI 1043379472
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gillette, WY
- NPI 1487638417
-
- Ambulatory Surgical Clinic/Center
- Gillette, WY
- NPI 1780738153
Hospital
-
- Critical Access Hospital
- Buffalo, WY
- NPI 1003894122
-
- General Acute Care Hospital
- Sheridan, WY
- NPI 1487707188
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1295896751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 WEST DOW STREET",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82801",
"telephone_number": "307-672-1806",
"fax_number": "307-672-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 WEST DOW STREET",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82801",
"telephone_number": "307-672-1806",
"fax_number": "307-672-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLST",
"first_name": "STEPHEN",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WY",
"license": "5434A",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "2157",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109407600",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "306592",
"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 Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.