NPIMap

Organization Active NPI

Urological Services of Northern Wyoming Professional Corporation

  • Urology Physician
  • Cody, WY
National Provider Identifier
1508832080
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
7308A Issued in WY
Legal business name
UROLOGICAL SERVICES OF NORTHERN WYOMING PROFESSIONAL CORPORATION
Practice address
225 W Yellowstone Ave
Suite #9
Cody, WY 82414-8702
Phone
(307) 587-5131
Fax
(307) 587-5132
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Gregory S Stewart, M.D.NPI 1346216611
Title
Owner
Phone
(307) 587-5131

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 7308A WY Primary

Addresses

Primary practice location

225 W Yellowstone Ave
Suite #9
Cody, WY 82414-8702

Mailing address

225 W Yellowstone Ave
Cody, WY 82414-8702
Phone (307) 587-5131

Other identifiers 4

IdentifierTypeStateIssuer
DF1105OtherRAILROAD MEDICARE
122121300MedicaidWY
611975900OtherFEDERAL WORK COMP
314014OtherWYBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060420000258 WY Part B Supplier - Clinic/Group Practice 9032128954 Receives reassigned benefits from 1 practitioner
Practice locations: Worland, WY; Powell, WY; Cody, WY

National Provider Directory

National Provider Directory

Locations

225 W Yellowstone Ave
Ste 9
Cody, WY 82414
Phone (307) 587-5131

225 W Yellowstone Ave
Cody, WY 82414

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35521_uroservicesofnwyoming

Practitioners & affiliated clinicians

Practitioners 5

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": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1508832080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824148702",
            "telephone_number": "307-587-5131",
            "fax_number": "307-587-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W YELLOWSTONE AVE",
            "address_2": "SUITE #9",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824148702",
            "telephone_number": "307-587-5131",
            "fax_number": "307-587-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL SERVICES OF NORTHERN WYOMING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-587-5131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WY",
            "license": "7308A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF1105",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122121300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORK COMP",
            "identifier": "611975900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "314014",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.