Relymd Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RELYMD MEDICAL GROUP, LLC

Doing business as

RelyMD Medical Group

Practice address

1920 Thomes Ave Ste 610
Cheyenne, WY 82001-3548

Phone

(919) 932-0928

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Ronald Michael Creatore

Title

Cfo

Phone

(919) 932-0928

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RelyMD Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

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

• Robert S Park, MD

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1124121348

  WY

  Medicare reassignment NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602979200000",
    "number": "1639781875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MEADOWMONT VILLAGE CIR STE 323",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177584",
            "telephone_number": "919-932-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 THOMES AVE STE 610",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013548",
            "telephone_number": "919-932-0928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Vermont Ave NW Ste 1130",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200053516",
            "country_code": "US",
            "telephone_number": "919-932-0928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELYMD MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A",
        "authorized_official_last_name": "CREATORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-932-0928"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING SECRETARY OF STATE IDENTIFICATION NUMBER",
            "identifier": "2020-000937164",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RelyMD Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RelyMD Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wade Alan Reher, PHARM,D.
• Jonathan David Reid
• Larry Reid Jr.
• Tiffany M Rein
• Natasha Reiner
• Rebecca Remillard
• Sidney Yufeng Ren, PHARMD
• Renasolve (Renasolve Inc)
• Christine Renfro, M.S., L.P.C., N.C.C.
• Elaine Doty Renfro, LSCSW , LCSW

• Family Medicine Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.