Wind River Radiology P C

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

Legal business name

WIND RIVER RADIOLOGY P C

Practice address

295 Garfield St
Lander, WY 82520-3121

Phone

(307) 335-6451

Fax

(307) 335-6467

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mary E Magnuson

Title

Office Manager

Phone

(307) 332-2357

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roy G Hediger, MD

  • Diagnostic Radiology Physician
  • Lander, WY
  • NPI 1922162536
  NPD (past)
• Scott Miller Petty, MD

  • Diagnostic Radiology Physician
  • Asheville, NC
  • NPI 1124042197
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1295959963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 GARFIELD ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203121",
            "telephone_number": "307-332-2357",
            "fax_number": "307-332-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 GARFIELD ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203121",
            "telephone_number": "307-335-6451",
            "fax_number": "307-335-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER RADIOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "MAGNUSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-332-2357"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104550",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104516",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wind River Family & Community Health Care
• Wind River Hearing Services
• Wind River Heart Clinic LLC
• Wind River Home Oxygen-LLC
• Wind River Physical Therapy LLC
• Wind River Wraparound
• Melissa Marie Winn
• Wise Psychological Services, LLC
• Cheryl Annette Wise, PH.D.
• Evelyn Witte

• Radiography Radiologic Technologist in Lander, WY
• Providers in Lander, WY by specialty
• Radiography Radiologic Technologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.