Individual provider Active NPI

Charles O. Lambiotte, MD

  • Family Medicine Physician
  • Powell, WY
National Provider Identifier
1609969534
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
292448-1 Issued in NY
Practice address
777 Avenue H
Powell, WY 82435-2260
Phone
(307) 754-2267
NPI assigned
Oct 2, 2006
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD055936L PA
Emergency Medicine Physician 207P00000X 15261A WY
Family Medicine Physician 207Q00000X 292448-1 NY Primary
Family Medicine Physician 207Q00000X MD055936L PA

Addresses

Primary practice location

777 Avenue H
Powell, WY 82435-2260

Mailing address

777 Avenue H
Powell, WY 82435-2260
Phone (307) 574-1194

Other practice location 1

141 E Cortland St
Groton, NY 13073-1107
Phone (724) 388-4607

Other identifiers 5

IdentifierTypeStateIssuer
LA029239OtherPAREFERRING
1518464OtherPAGATEWAY
029239OtherPABLUE SHIELD
001714555MedicaidPA
080139699OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208002333 WY Practitioner - Family Practice 8325933286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Big Horn County Hospital DistrictGroup PAC ID 1254314107, shared by 3 NPIs, 14 clinicians

Practice addresses (Care Compare)

388 US Hwy 20 S
Basin, WY 82410-8902
Phone (307) 568-3311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD055936LPAMDEmergency Medicine Physician
15261AWYMDEmergency Medicine Physician
292448-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Big Horn County Hospital District Current Accepting new patients
South Big Horn County Hospital District CurrentSince Apr 6, 2024 Accepting new patients
Powell Valley Health Care Inc CurrentSince Jan 1, 2023 Accepting new patients
Powell Valley Healthcare Inc Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
South Big Horn County Hospital District CurrentSince Apr 6, 2024 Accepting new patients
Community Family Health Centers Inc Past Accepting new patients
Pefha Health & Wellness Center Family Medicine Past Accepting new patients

Locations

388 US Highway 20 S
Basin, WY 82410
Phone (307) 347-5810

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

450 Mountain View St
Unit B
Powell, WY 82435
Phone (307) 754-1202

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

Interoperability endpoints

  • Direct secure messaging: charles.lambiotte@powellvalleyhealthcare.cernerdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1609969534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-574-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-2267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E Cortland St",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "NY",
            "postal_code": "130731107",
            "country_code": "US",
            "telephone_number": "724-388-4607",
            "fax_number": "814-938-6804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBIOTTE",
        "first_name": "CHARLES",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD055936L",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "15261A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "292448-1",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD055936L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REFERRING",
            "identifier": "LA029239",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1518464",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "029239",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001714555",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080139699",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

Verify at the official NPI Registry.