Richard E Jay, D.O.
Individual provider Active NPI Family Medicine Physician · Lovell, WY
NPI 1467470732 · NPPES record last updated Jul 11, 2016
Key facts
- NPI
- 1467470732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 8882A (WY)
- Practice address
- 1115 Lane 12
North Big Horn Hospital Clinic
Lovell, WY 82431-9537 - Phone
- (307) 548-5201
- Fax
- (307) 548-5224
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111 | NE | MD | Clinical Psychologist |
| 8882A | WY | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8882A | WY | Yes |
Addresses
Primary practice location
1115 Lane 12
North Big Horn Hospital Clinic
Lovell, WY 82431-9537
Mailing address
1115 Lane 12
North Big Horn Hospital Clinic
Lovell, WY 82431-9537
Phone (307) 548-5201
Other providers in Lovell, WY
- Jacob G. Despain OD PC
- Christine Jameson
- Karren Jameson
- Elijahben Jasso
- Terrie Jasso
- Suzette Jewel
- Joan Cares LLC
- Dorthy Baker Kister
- Melissa Kramer
- Lovell Dental
All providers in Lovell, WY · Family Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.