NPIMap

Organization Active NPI

L Joanne Hedgecock MD PC

  • Family Medicine Physician
  • Riverton, WY
National Provider Identifier
1407010853
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3454A Issued in WY
Legal business name
L JOANNE HEDGECOCK MD PC
Practice address
1025 College View Dr
Riverton, WY 82501-2266
Phone
(307) 857-2000
Fax
(307) 857-0339
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
L Joanne Hedgecock
Title
Pres
Phone
(307) 857-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3454A WY Primary

Addresses

Primary practice location

1025 College View Dr
Riverton, WY 82501-2266

Mailing address

1025 College View Dr
Riverton, WY 82501-2266
Phone (307) 857-2000

Other identifiers 2

IdentifierTypeStateIssuer
107146700MedicaidWY
2347OtherWIBLUE CROSS-BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1407010853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 COLLEGE VIEW DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012266",
            "telephone_number": "307-857-2000",
            "fax_number": "307-857-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 COLLEGE VIEW DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012266",
            "telephone_number": "307-857-2000",
            "fax_number": "307-857-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L JOANNE HEDGECOCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HEDGECOCK",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "307-857-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "3454A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107146700",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "2347",
            "state": "WI"
        }
    ],
    "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 Jul 15, 2008; 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.