NPIMap

Organization Active NPI

Urgent Care of Wyoming Inc.

  • Nurse Practitioner
  • Gillette, WY
National Provider Identifier
1609896455
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
URGENT CARE OF WYOMING INC.
Practice address
2007 S Douglas Hwy
E2
Gillette, WY 82718-5400
Phone
(307) 686-5750
Fax
(307) 686-5748
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Dr. John C Shershow, M.D.NPI 1194039701
Title
Owner
Phone
(800) 388-9299

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2007 S Douglas Hwy
E2
Gillette, WY 82718-5400

Mailing address

2007 S Douglas Hwy
Suite E2
Gillette, WY 82718-5400
Phone (307) 686-5750

Other identifiers 2

IdentifierTypeStateIssuer
119768100MedicaidWY
01188001OtherWYBLUE CROSS GROUP NUMBER

Other names 1

  • Gillette Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

2007 S Douglas Hwy
Unit E2
Gillette, WY 82718
Phone (307) 686-5750

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1609896455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 S DOUGLAS HWY",
            "address_2": "SUITE E2",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185400",
            "telephone_number": "307-686-5750",
            "fax_number": "307-686-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 S DOUGLAS HWY",
            "address_2": "E2",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185400",
            "telephone_number": "307-686-5750",
            "fax_number": "307-686-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF WYOMING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "SHERSHOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-388-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119768100",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "01188001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gillette Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.