Active NPI
Rendezvous Medical
- Obstetrics & Gynecology Physician
- Riverton, WY
National Provider Identifier
1366735466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- RENDEZVOUS MEDICAL
- Practice address
- 1035 Rose LN
Suite B
Riverton, WY 82501-2286 - Phone
- (307) 856-0382
- Fax
- (307) 856-0385
- NPI assigned
- May 23, 2011
- Last updated
- Oct 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John W Mercer, MD
- Title
- Physician Owner
- Phone
- (307) 856-0382
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary | |
| Pediatrics Physician | 208000000X | NU |
Addresses
Primary practice location
1035 Rose LN
Suite B
Riverton, WY 82501-2286
Mailing address
1035 Rose LN
Suite B
Riverton, WY 82501-2286
Phone (307) 856-0382
National Provider Directory
National Provider DirectoryLocations
1035 Rose Ln
Ste B
Riverton, WY 82501
Phone (307) 856-0382
Interoperability endpoints
- https://api.platform.athenahealth.com/3934/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Advanced Practice Midwife
- Cheyenne, WY
- NPI 1356360002
-
- Obstetrics & Gynecology Physician
- Eagan, MN
- NPI 1558405589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349827200000",
"number": "1366735466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 ROSE LN",
"address_2": "SUITE B",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825012286",
"telephone_number": "307-856-0382",
"fax_number": "307-856-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 ROSE LN",
"address_2": "SUITE B",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825012286",
"telephone_number": "307-856-0382",
"fax_number": "307-856-0385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENDEZVOUS MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-23",
"last_updated": "2012-10-10",
"status": "A",
"authorized_official_last_name": "MERCER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "307-856-0382",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.