Individual provider Active NPI

Terry Robert Donaldson, MD

  • Internal Medicine Physician
  • Rock Springs, WY
National Provider Identifier
1417903709
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5702A Issued in WY
Practice address
1577 Dewar Dr Ste 8
Rock Springs, WY 82901-5716
Phone
(307) 389-5888
NPI assigned
May 26, 2006
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5702A WY Primary

Addresses

Primary practice location

1577 Dewar Dr Ste 8
Rock Springs, WY 82901-5716

Mailing address

1577 Dewar Dr Ste 8
Rock Springs, WY 82901-5716
Phone (307) 389-5888

Other identifiers 1

IdentifierTypeStateIssuer
110853100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040903001008 WY Practitioner - Internal Medicine 7012983679 Reassigns benefits to 2 organizations
I20200804003296 TN Practitioner - Internal Medicine 7012983679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Wyoming LLCGroup PAC ID 8325214828, 41 clinicians

Practice addresses (Care Compare)

1233 E 2ND St
Casper, WY 82601-2926
Phone (800) 822-7201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Oct 25, 2021 Accepting new patients
Memorial Hospital of Sweetwater County Internal Medicine CurrentSince Nov 30, 2018 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Nov 30, 2018 Accepting new patients
Sound Physicians of Wyoming, LLC Internal Medicine CurrentSince Jun 14, 2017 Accepting new patients
Sage Medical Group LLC Past Accepting new patients
Wyoming Medical Center Inc Past Accepting new patients
Sage Medical Group LLC Past Accepting new patients

Locations

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

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

3000 College Dr
Rock Springs, WY 82901
Phone (307) 212-7708

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/dcf3b1c6-3971-4673-962e-8b2cce0ff827/
  • Direct secure messaging: tdonaldson104226@secure.stcharleshealthcare.org

Organizations & group practices 7

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 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1417903709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 DEWAR DR STE 8",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015716",
            "telephone_number": "307-389-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 DEWAR DR STE 8",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015716",
            "telephone_number": "307-389-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "TERRY",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "5702A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110853100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.