Organization Active NPI

Michael Menolascino MD

  • Internal Medicine Physician
  • Wilson, WY
National Provider Identifier
1437439684
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4440A Issued in WY
Legal business name
MICHAEL MENOLASCINO MD
Practice address
5235 HHR Ranch Rd
Wilson, WY 83014-1929
Phone
(307) 733-2855
Fax
(307) 734-0734
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. Michael J Menolascino, MD
Title
Director
Phone
(307) 733-2855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4440A WY Primary

Addresses

Primary practice location

5235 HHR Ranch Rd
Wilson, WY 83014-1929

Mailing address

PO Box 1929
5235 HHR Ranch Rd
Wilson, WY 83014-1929
Phone (307) 733-2855

Other names 1

  • Wilson Medical Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1437439684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1929",
            "address_2": "5235 HHR RANCH RD",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830141929",
            "telephone_number": "307-733-2855",
            "fax_number": "307-734-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 HHR RANCH RD",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830141929",
            "telephone_number": "307-733-2855",
            "fax_number": "307-734-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MENOLASCINO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "MENOLASCINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-733-2855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "4440A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.