Organization Active NPI

Digestive Care Specialists, LLC

  • Gastroenterology Physician
  • Casper, WY
National Provider Identifier
1336799121
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE CARE SPECIALISTS, LLC
Practice address
1026 E 2ND St
Casper, WY 82601-2902
Phone
(307) 333-0002
Fax
(307) 333-4425
NPI assigned
Sep 13, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jeffrey W Cloud, MDNPI 1518179126
Title
Owner
Phone
(307) 315-7995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 14

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

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2254144Digestive Care Specialists1026 East 2ND St, Casper, WY 82601ComplianceAug 31, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200406000285 WY Part B Supplier - Clinic/Group Practice 7113356643 Receives reassigned benefits from 10 practitioners
Practice locations: Casper, WY
O20230104001691 NE Part B Supplier - Clinic/Group Practice 7113356643 Receives reassigned benefits from 2 practitioners
Practice locations: North Platte, NE

National Provider Directory

National Provider Directory

Locations

616 W Leota St
North Platte, NE 69101
Phone (308) 252-1100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

NPPES NPI Registry

Primary practice location

1026 E 2ND St
Casper, WY 82601-2902

Mailing address

PO Box 51670
Casper, WY 82605-1670
Phone (307) 315-7995

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1518179126MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2020.

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1336799121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51670",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826051670",
            "telephone_number": "307-315-7995",
            "fax_number": "307-333-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012902",
            "telephone_number": "307-333-0002",
            "fax_number": "307-333-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-315-7995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518179126",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.