Individual provider Active NPI

Stephen Chappelle Caughron, MD

  • General Practice Physician
  • Yellowstone National Park, WY
National Provider Identifier
1598919177
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8021A Issued in WY
Practice address
One Grand Loop Rd.
Yellowstone National Park, WY 82190
Phone
(307) 344-7965
NPI assigned
Nov 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8021A WY Primary

Addresses

Primary practice location

One Grand Loop Rd.
Yellowstone National Park, WY 82190

Mailing address

1180 S 800 E
Salt Lake City, UT 84105-1257
Phone (281) 702-3193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8021AWYMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1598919177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 S 800 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051257",
            "telephone_number": "281-702-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GRAND LOOP RD.",
            "city": "YELLOWSTONE NATIONAL PARK",
            "state": "WY",
            "postal_code": "82190",
            "telephone_number": "307-344-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHRON",
        "first_name": "STEPHEN",
        "middle_name": "CHAPPELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WY",
            "license": "8021A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yellowstone National Park, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.