Active NPI
Digestive Health Associates of Cheyenne
- Medical Specialty Clinic/Center
- Cheyenne, WY
National Provider Identifier
1508808239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- DIGESTIVE HEALTH ASSOCIATES OF CHEYENNE
- Practice address
- 7212 Commons Cir
Cheyenne, WY 82009-2667 - Phone
- (307) 635-4141
- Fax
- (307) 635-6587
- NPI assigned
- Jun 10, 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. Scott McRae, MD
- Title
- President
- Phone
- (307) 635-4141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | |||
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
7212 Commons Cir
Cheyenne, WY 82009-2667
Mailing address
7212 Commons Cir
Cheyenne, WY 82009-2667
Phone (307) 635-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106239500 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040521001051 | WY | Part B Supplier - Clinic/Group Practice | 9032100557 |
Receives reassigned benefits from 14 practitioners Practice locations: Cheyenne, WY |
National Provider Directory
National Provider DirectoryLocations
2301 House Ave
#300
Cheyenne, WY 82001
7212 Commons Cir
Unit A
Cheyenne, WY 82009
Practitioners & affiliated clinicians
Practitioners 16
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": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1508808239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7212 COMMONS CIR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820092667",
"telephone_number": "307-635-4141",
"fax_number": "307-635-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7212 COMMONS CIR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820092667",
"telephone_number": "307-635-4141",
"fax_number": "307-635-6587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE HEALTH ASSOCIATES OF CHEYENNE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "MCRAE",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-635-4141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106239500",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.