US Clinical Partners

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

US CLINICAL PARTNERS

Practice address

30 N Gould St Ste R
Sheridan, WY 82801-6317

Phone

(415) 234-8096

NPI assigned

May 14, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Horn

Title

Administrator

Phone

(415) 234-8096

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jacob Matheus Horn

  • Community Health Worker
  • Phoenix, AZ
  • NPI 1598616906

  Single Specialty

  NPD

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1588286355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947010722",
            "telephone_number": "510-689-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST STE R",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317",
            "telephone_number": "415-234-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US CLINICAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-234-8096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deanne Updike-Wyssmann, M.S., N.C.C., L.P.C.
• Kathleen Susan Urbatchka, R.PH.
• USA Doctor Network
• USA Doctor Network
• Patricia Usher
• V Line RX LLC
• Amber Van Dyke

• Internal Medicine Physician in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Internal Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.