Active NPI
Sally J Whitman, PA-C
- Medical Physician Assistant
- Cody, WY
National Provider Identifier
1629034848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 316 TL
- Practice address
- 721 Sheridan Ave
Ste 220
Cody, WY 82414-3423 - Phone
- (307) 587-1155
- Fax
- (307) 587-1166
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 316 TL | WY | Primary |
Addresses
Primary practice location
721 Sheridan Ave
Ste 220
Cody, WY 82414-3423
Mailing address
721 Sheridan Ave
Ste 220
Cody, WY 82414-3423
Phone (307) 587-1155
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060323000035 | WY | Practitioner - Physician Assistant | 9032127709 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1613 Stampede Ave
Suite a
Cody, WY 82414-4710
1613 Stampede Ave a
Cody, WY 82414-4710
Phone (307) 587-1155
Hospital & facility affiliations
- Cody Regional Health
- Washakie Medical Center
- Billings Clinic Hospital
- Powell Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 316 TL | WY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles G Welch, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Cody, WY
- NPI 1366631285
Hospital & facility affiliations 12
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": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629034848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 SHERIDAN AVE",
"address_2": "STE 220",
"city": "CODY",
"state": "WY",
"postal_code": "824143423",
"telephone_number": "307-587-1155",
"fax_number": "307-587-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 SHERIDAN AVE",
"address_2": "STE 220",
"city": "CODY",
"state": "WY",
"postal_code": "824143423",
"telephone_number": "307-587-1155",
"fax_number": "307-587-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMAN",
"first_name": "SALLY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WY",
"license": "316 TL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.