Active NPI
Urology Clinic PC
- Urology Physician
- Laramie, WY
National Provider Identifier
1487765764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 5981A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106684600 | Medicaid | WY |
National Provider Directory
National Provider DirectoryLocations
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.