Wyoming Clinic of Medicine, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

WYOMING CLINIC OF MEDICINE, LLC

Practice address

528 Coffeen Ave
Sheridan, WY 82801-5312

Phone

(307) 683-7138

Fax

(307) 655-8770

NPI assigned

Jul 31, 2026

Organization subpart

No

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

Authorized official

Name

Gordon Hendrickson, PA-CNPI 1538877071

Title

Owner

Phone

(307) 683-7138

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gordon W Hendrickson, PA

  • Physician Assistant
  • Sheridan, WY
  • NPI 1538877071
  NPD (past) Authorized official

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1306769096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 COFFEEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015312",
            "telephone_number": "307-683-7138",
            "fax_number": "307-655-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 COFFEEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015312",
            "telephone_number": "307-683-7138",
            "fax_number": "307-655-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING CLINIC OF MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-683-7138",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darbi Wray, MS CAP PPC
• Alisha Danielle Wright, PHARM D
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• Medical Physician Assistant in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Medical Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.