NPIMap

Individual provider Active NPI

Steven Wayne Babcock, DO

  • Family Medicine Physician
  • Mountain View, WY
National Provider Identifier
1356572101
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8932A Issued in WY
Practice address
531 Parkway Drive
Mountain View, WY 82939
Phone
(307) 782-7560
Fax
(307) 782-7584
NPI assigned
Jul 28, 2009
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SL0644 NV
Family Medicine Physician 207Q00000X 8932A WY Primary

Addresses

Primary practice location

531 Parkway Drive
Mountain View, WY 82939

Mailing address

531 Parkway Drive
Mountain View, WY 82939
Phone (307) 782-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000146 WY Practitioner - Family Practice 8628225216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evanston Hospital CorporationGroup PAC ID 7113900358, 15 clinicians

Practice addresses (Care Compare)

107 N Main St
Lyman, WY 82937-5220
Phone (307) 787-3313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
SL0644NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Hospital Corporation CurrentSince Jun 10, 2018 Accepting new patients
Evanston Clinic Corp Family Medicine CurrentSince Nov 2, 2015 Accepting new patients
Evanston Hospital Corporation CurrentSince Jun 10, 2018 Accepting new patients
Evanston Hospital Corporation Family Medicine Past Accepting new patients

Locations

190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636

196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1583/brand/2/csg/28/fhir/r4
  • Direct secure messaging: sbabco01@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1356572101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 PARKWAY DRIVE",
            "city": "MOUNTAIN VIEW",
            "state": "WY",
            "postal_code": "82939",
            "telephone_number": "307-782-7560",
            "fax_number": "307-782-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 PARKWAY DRIVE",
            "city": "MOUNTAIN VIEW",
            "state": "WY",
            "postal_code": "82939",
            "telephone_number": "307-782-7560",
            "fax_number": "307-782-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "SL0644",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "8932A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, WY

Sources for this page

Verify at the official NPI Registry.