Wyoming Health Medical Group, LLC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

WYOMING HEALTH MEDICAL GROUP, LLC

Practice address

419 S Washington St Ste 102
Casper, WY 82601-2951

Phone

(307) 237-5047

NPI assigned

Dec 6, 2022

Last updated

Dec 6, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER MEDICAL GROUP COLORADOAs reported in NPPES

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

Authorized official

Name

Margo Karsten

Title

Division President

Phone

(602) 747-4000

Specialties & licenses 2

Addresses

Tax ID family

Wyoming Health Medical Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wyoming Health Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Casper, WY
  • NPI 1376210989
  NPD tax ID

Locations

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1346951944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST STE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012951",
            "telephone_number": "307-237-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP COLORADO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "KARSTEN",
        "authorized_official_first_name": "MARGO",
        "authorized_official_title_or_position": "DIVISION PRESIDENT",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyoming Center for Sight P.C.
• Wyoming Endocrine & Diabetes Clinic LLC
• Wyoming Family Practice Clinic
• Wyoming Fundamental Healing and Recovery LLC
• Wyoming Health Fairs
• Wyoming Health Medical Group, LLC
• Wyoming Health Medical Group, LLC
• Wyoming Imaging Center
• Wyoming in-Home Care LLC
• Wyoming Independent Living Rehabilitation, Inc.

• Nutrition Education Nutritionist in Casper, WY
• Providers in Casper, WY by specialty
• Nutrition Education Nutritionist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.