NPIMap

Organization Active NPI

Frontier Medical Providers

  • Urgent Care Clinic/Center
  • Cheyenne, WY
National Provider Identifier
1437416443
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
7206A Issued in WY
Legal business name
FRONTIER MEDICAL PROVIDERS
Practice address
433 E 19TH St
Cheyenne, WY 82001-4643
Phone
(307) 773-8133
NPI assigned
Apr 15, 2012
Last updated
Jun 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Daniel Surdam, MDNPI 1184697666
Title
Chief Medical Officer
Phone
(307) 773-8133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 7206A WY Primary

Addresses

Primary practice location

433 E 19TH St
Cheyenne, WY 82001-4643

Mailing address

PO Box 426
Cheyenne, WY 82003-0426
Phone (307) 426-4676

National Provider Directory

National Provider Directory

Locations

433 E 19th St
Cheyenne, WY 82001
Phone (307) 222-8993

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1437416443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820030426",
            "telephone_number": "307-426-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E 19TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014643",
            "telephone_number": "307-773-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER MEDICAL PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-15",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "SURDAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "307-773-8133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WY",
            "license": "7206A",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 25, 2012; 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.