Organization Active NPI

Pain Consultants of the Rockies, PC

  • Pain Medicine (Anesthesiology) Physician
  • Cheyenne, WY
National Provider Identifier
1437156809
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4305A Issued in WY
Legal business name
PAIN CONSULTANTS OF THE ROCKIES, PC
Practice address
903 S Greeley Hwy
Suite a
Cheyenne, WY 82007-3057
Phone
(307) 633-8100
Fax
(307) 633-8108
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harlan R Ribnik, M.D.
Title
President
Phone
(307) 633-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 4305A WY Primary

Addresses

Primary practice location

903 S Greeley Hwy
Suite a
Cheyenne, WY 82007-3057

Mailing address

PO Box 20270
Cheyenne, WY 82003-7006
Phone (307) 633-8100

Other identifiers 1

IdentifierTypeStateIssuer
00653/001OtherWYBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15087/brand/2/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437156809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20270",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037006",
            "telephone_number": "307-633-8100",
            "fax_number": "307-633-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S GREELEY HWY",
            "address_2": "SUITE A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820073057",
            "telephone_number": "307-633-8100",
            "fax_number": "307-633-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONSULTANTS OF THE ROCKIES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIBNIK",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-633-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WY",
            "license": "4305A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00653/001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.