Organization Active NPI

Wyco Derm LLC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Timnath, CO
National Provider Identifier
1306700588
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
Legal business name
WYCO DERM LLC
Practice address
5451 E. Harmony
Building 2 Unit 109
Timnath, CO 82001-3830
Phone
(307) 635-8299
Fax
(307) 635-6984
NPI assigned
Dec 12, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SEITZ DERMATOLOGY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Gregory SeitzNPI 1962676353
Title
Owner
Phone
(307) 635-8299

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
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X NU Primary

Addresses

Primary practice location

5451 E. Harmony
Building 2 Unit 109
Timnath, CO 82001-3830

Mailing address

2112 Seymour Ave
Cheyenne, WY 82001-3830
Phone (307) 635-8299

National Provider Directory

National Provider Directory
Tax ID family
Seitz Dermatology2 organizations share this tax ID, including this one
Part of
Seitz Dermatology PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1306700588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 SEYMOUR AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013830",
            "telephone_number": "307-635-8299",
            "fax_number": "307-635-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 E. HARMONY",
            "address_2": "BUILDING 2 UNIT 109",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "820013830",
            "telephone_number": "307-635-8299",
            "fax_number": "307-635-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCO DERM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEITZ DERMATOLOGY, PC",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-635-8299"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timnath, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.