Individual provider Active NPI

Wallace M Curry Jr., M.D.

  • Urology Physician
  • Rock Springs, WY
National Provider Identifier
1407892482
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9946A Issued in WY
Practice address
1180 College Dr
Suite 3-4
Rock Springs, WY 82901-5863
Phone
(307) 362-4200
Fax
(307) 362-5406
NPI assigned
Jun 20, 2006
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 04-30150 KS
Urology Physician 208800000X 9946A WY Primary

Addresses

Primary practice location

1180 College Dr
Suite 3-4
Rock Springs, WY 82901-5863

Mailing address

1180 College Dr
Suite 3-4
Rock Springs, WY 82901-5863
Phone (307) 362-4200

Other identifiers 1

IdentifierTypeStateIssuer
100641240AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, MN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090827000570 UT Practitioner - Urology 0941364434 Reassigns benefits to 1 organization
I20150225000736 WY Practitioner - Urology 0941364434 Reassigns benefits to 1 organization
I20231117000633 MN Practitioner - Urology 0941364434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Wisconsin, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians

Practice addresses (Care Compare)

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.84 of 100Reported as group
Quality
50.5
Promoting interoperability
93
Improvement activities
40
Cost
68.13

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
88.69
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30150KSMDUrology Physician
9946AWYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Sep 26, 2019 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Nov 1, 2023 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Feb 2, 2015 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Feb 2, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Sep 26, 2019 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Nov 1, 2023 Accepting new patients
Hays Medical Center, Inc. Urology Past Accepting new patients

Locations

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

1180 College Dr
Ste 34
Rock Springs, WY 82901
Phone (307) 362-4200

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • Direct secure messaging: wcurry810902@fairview.direct-ci.com

Organizations & group practices 8

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 5

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1407892482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 COLLEGE DR",
            "address_2": "SUITE 3-4",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015863",
            "telephone_number": "307-362-4200",
            "fax_number": "307-362-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 COLLEGE DR",
            "address_2": "SUITE 3-4",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015863",
            "telephone_number": "307-362-4200",
            "fax_number": "307-362-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURRY",
        "first_name": "WALLACE",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "04-30150",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WY",
            "license": "9946A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100641240A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.