Howard Medical Clinic Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

6716A Issued in WY

Legal business name

HOWARD MEDICAL CLINIC INC

Practice address

3810 E Grand Ave
Laramie, WY 82070-5179

Phone

(307) 745-4884

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann H Thedieck, MD

Title

Owner

Phone

(307) 745-4884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1588853162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705179",
            "telephone_number": "307-745-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705179",
            "telephone_number": "307-745-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "THEDIECK",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-745-4884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WY",
            "license": "6716A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Orion Horve
• Danielle Horwitz
• Hospice of Laramie
• Jenna Lee Hotovec, MS, PPC
• Mary Catherine Houser
• Larissa Howard
• Angela Imperial Howdeshell, MD
• Gwynaedd Howdyshell
• Trudy Howe
• Garrett K Howell, OD

• Health Service Clinic/Center in Laramie, WY
• Providers in Laramie, WY by specialty
• Health Service Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.