Organization Active NPI

Rendezvous Medical

  • Obstetrics & Gynecology Physician
  • Riverton, WY
National Provider Identifier
1366735466
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

1035 Rose Ln
Ste B
Riverton, WY 82501
Phone (307) 856-0382

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.