Organization Active NPI

Wyoming Pathology Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Laramie, WY
National Provider Identifier
1396751947
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
WYOMING PATHOLOGY INC
Practice address
255 N 30TH St
Laramie, WY 82072-5140
Phone
(307) 742-2141
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. James F Martinchick, MD
Title
President
Phone
(307) 742-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

255 N 30TH St
Laramie, WY 82072-5140

Mailing address

PO Box 270592
Louisville, CO 80027-5009
Phone (405) 947-8584

Other identifiers 3

IdentifierTypeStateIssuer
611967200OtherWYDOL BLACK LUNG
86079OtherWYALTIUS HEALTHCARE
106246800MedicaidWY

National Provider Directory

National Provider Directory

Locations

408 S 21St St
Laramie, WY 82070
Phone (307) 745-9422

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1396751947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270592",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800275009",
            "telephone_number": "405-947-8584",
            "fax_number": "405-948-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725140",
            "telephone_number": "307-742-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MARTINCHICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-742-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL BLACK LUNG",
            "identifier": "611967200",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS HEALTHCARE",
            "identifier": "86079",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106246800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.