Organization Active NPI

Urology Clinic PC

  • Urology Physician
  • Laramie, WY
National Provider Identifier
1487765764
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5981A Issued in WY
Legal business name
UROLOGY CLINIC PC
Practice address
2710 Harney St
Suite 200
Laramie, WY 82070-2899
Phone
(307) 745-3097
Fax
(307) 745-7431
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Dr. H Lyle Pierce, MD
Title
President
Phone
(307) 745-3097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 5981A WY Primary

Addresses

Primary practice location

2710 Harney St
Suite 200
Laramie, WY 82070-2899

Mailing address

2710 Harney St
Suite 200
Laramie, WY 82070-2899
Phone (307) 745-3097

Other identifiers 1

IdentifierTypeStateIssuer
106684600MedicaidWY

National Provider Directory

National Provider Directory

Locations

204 McCullum Dr
Ste 102
Laramie, WY 82070
Phone (307) 460-9497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1487765764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HARNEY ST",
            "address_2": "SUITE 200",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820702899",
            "telephone_number": "307-745-3097",
            "fax_number": "307-745-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HARNEY ST",
            "address_2": "SUITE 200",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820702899",
            "telephone_number": "307-745-3097",
            "fax_number": "307-745-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-745-3097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WY",
            "license": "5981A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106684600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.