NPIMap

Individual provider Active NPI

David J Mohlman, D.O.

  • Hospitalist Physician
  • Gillette, WY
National Provider Identifier
1477575686
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
12468A Issued in WY
Practice address
501 S Burma Ave
Gillette, WY 82716-3426
Phone
(307) 688-1000
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51632 CO
Internal Medicine Physician 207R00000X 5101012372 MI
Hospitalist Physician 208M00000X 51632 CO
Hospitalist Physician 208M00000X 12468A WY Primary

Addresses

Primary practice location

501 S Burma Ave
Gillette, WY 82716-3426

Mailing address

201 W Lakeway Rd Ste 1004
Gillette, WY 82718-6349
Phone (307) 387-9850

Other practice location 1

5200 DTC Pkwy
Suite 400
Greenwood Village, CO 80111-2719
Phone (303) 745-0000

Other practice location 2

469 Highway 50
Gillette, WY 82718-9330
Phone (307) 387-9850

Other identifiers 1

IdentifierTypeStateIssuer
85006246MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cchwyo@cchwyo.sdhealthlink.net Direct Campbell County Hospital District

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130109000246 CO Practitioner - Internal Medicine 8527006766 Reassigns benefits to 1 organization
I20191209002851 WY Practitioner - Hospitalist 8527006766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Michigan State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoskinson Health and Wellness Clinic LLC 54 clinicians
Campbell County Hospital District 128 clinicians

Practice addresses (Care Compare)

469 Hwy 50
Gillette, WY 82718-9330
Phone (307) 387-9850

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

Hospital & facility affiliations

  • Campbell County Memorial Hospital Home Health Home health agency, Gillette, WY, CCN 537035
  • Healing Hearts Home Health Home health agency, Gillette, WY, CCN 537085
  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101012372MIMDInternal Medicine Physician
51632COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Feb 19, 2024 Accepting new patients
Campbell County Clinics Family Practice CurrentSince Oct 1, 2019 Accepting new patients
Campbell County Hospital District CurrentSince Oct 1, 2019 Accepting new patients
Hoskinson Health & Wellness Clinic LLC Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Campbell County Hospital District Internal Medicine Current Accepting new patients
Critical Care & Pulmonary Consultants, PC Hospitalist CurrentSince Dec 1, 2012 Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Feb 1, 2019 Accepting new patients
Campbell County Hospital District Current Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Feb 1, 2019 Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

700 Potomac St
Fl 2
Aurora, CO 80011
Phone (319) 273-8992

7100 E Belleview Ave
Ste G10
Greenwood Village, CO 80111
Phone (303) 745-0000

5200 Dtc Pkwy
Ste 400
Greenwood Village, CO 80111
Phone (303) 745-0000

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636

201 W Lakeway Rd
Ste 1004
Gillette, WY 82718
Phone (307) 387-9850

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • Direct secure messaging: david.mohlman.1@26742.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1477575686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD STE 1004",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186349",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BURMA AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163426",
            "telephone_number": "307-688-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 DTC Pkwy",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112719",
            "country_code": "US",
            "telephone_number": "303-745-0000",
            "fax_number": "303-773-3101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "469 Highway 50",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827189330",
            "country_code": "US",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHLMAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "51632",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101012372",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "51632",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WY",
            "license": "12468A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85006246",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cchwyo@cchwyo.sdhealthlink.net",
            "affiliation": "Y",
            "affiliationName": "Campbell County Hospital District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 S Burma Ave",
            "city": "Gillette",
            "state": "WY",
            "country_code": "US",
            "postal_code": "827163426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.