NPIMap

Organization Active NPI

Digestive Health Associates of Cheyenne

  • Medical Specialty Clinic/Center
  • Cheyenne, WY
National Provider Identifier
1508808239
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Dr. Scott McRae, MDNPI 1144390006
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521001051 WY Part B Supplier - Clinic/Group Practice 9032100557 Receives reassigned benefits from 14 practitioners
Practice locations: Cheyenne, WY

National Provider Directory

National Provider Directory

Locations

2301 House Ave
#300
Cheyenne, WY 82001

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

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": [],
    "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.

Verify at the official NPI Registry.