Kaiser Healthcare Ventures

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9703A Issued in WY

Legal business name

KAISER HEALTHCARE VENTURES

Doing business as

Platte Valley Medical Clinic

Practice address

1208 S River St
Saratoga, WY 82331

Phone

(307) 326-8381

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Nicole Schultz

Title

Manager

Phone

(307) 326-8381

Specialties & licenses 1

Addresses

Other names 1

• Platte Valley Medical Clinic Doing business as

Practitioners 1

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.

• Edwin Kenneth Sheils, PA-C

  • Physician Assistant
  • Saratoga, WY
  • NPI 1043488596
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1487178497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823310648",
            "telephone_number": "307-326-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 S RIVER ST",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "82331",
            "telephone_number": "307-326-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER HEALTHCARE VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "307-326-8381"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "9703A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platte Valley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Devine, PA
• Mary Jo Greenwood, LCSW
• Meaghan Henry, RDN, LD
• Ronald F. Hoopes, LPC
• Jane Ann Johnston, MS, SLP/CCC
• Bryan Glenn Kaiser, MD
• Sonia Otteman Klein, DNP-FNP
• Tammy Annette Lane, OTRL
• Drew Asher Leach, ED.S, NSCP
• Local Therapy, LLC

• Family Medicine Physician in Saratoga, WY
• Providers in Saratoga, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.