Organization Active NPI

Biene Star Co

  • Adolescent Medicine (Internal Medicine) Physician
  • Cheyenne, WY
National Provider Identifier
1457609935
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
2345A Issued in WY
Legal business name
BIENE STAR CO
Practice address
6215 Clear Creek Pkwy
Cheyenne, WY 82007-1951
Phone
(307) 256-2155
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Roger Gosser
Title
Ceo
Phone
(307) 256-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X 2345A WY Primary

Addresses

Primary practice location

6215 Clear Creek Pkwy
Cheyenne, WY 82007-1951

Mailing address

6215 Clear Creek Pkwy
Cheyenne, WY 82007-1951
Phone (307) 256-2155

National Provider Directory

National Provider Directory

Locations

6215 Clear Creek Pkwy
Cheyenne, WY 82007
Phone (307) 256-2155

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1457609935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 CLEAR CREEK PKWY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820071951",
            "telephone_number": "307-256-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 CLEAR CREEK PKWY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820071951",
            "telephone_number": "307-256-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENE STAR CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "GOSSER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-256-2155"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "WY",
            "license": "2345A",
            "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 Sep 18, 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.