Active NPI
Lawrence W Oholleran PC
- Surgery Physician
- Cheyenne, WY
National Provider Identifier
1649239138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 6423A
- Legal business name
- LAWRENCE W OHOLLERAN PC
- Practice address
- 1616 E 19TH St
Ste 8
Cheyenne, WY 82001-4946 - Phone
- (307) 637-5600
- Fax
- (307) 637-0249
- NPI assigned
- Mar 22, 2006
- Last updated
- Sep 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence William Oholleran, MD
- Title
- Surgeon
- Phone
- (307) 637-5600
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 6423A | WY | Primary |
| Surgery Physician | 208600000X | 16963 | NE | |
| Surgery Physician | 208600000X | 26688 | CO |
Addresses
Primary practice location
1616 E 19TH St
Ste 8
Cheyenne, WY 82001-4946
Mailing address
1616 E 19TH St
Ste 8
Cheyenne, WY 82001-4946
Phone (307) 637-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COA106329/COA106330 | Other | MEDICARE/TRAILBLAZER HEALTH ENTERPRISES | |
| 115489300 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1616 E 19th St
Ste 8
Cheyenne, WY 82001
Phone (307) 631-8430
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Cheyenne, WY
- NPI 1225004187
-
- Family Medicine Physician
- Cheyenne, WY
- NPI 1184645632
-
- Dermatology Physician
- Cheyenne, WY
- NPI 1699742957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315526400000",
"number": "1649239138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 E 19TH ST",
"address_2": "STE 8",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014946",
"telephone_number": "307-637-5600",
"fax_number": "307-637-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 E 19TH ST",
"address_2": "STE 8",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014946",
"telephone_number": "307-637-5600",
"fax_number": "307-637-0249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE W OHOLLERAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-22",
"last_updated": "2011-09-09",
"status": "A",
"authorized_official_last_name": "OHOLLERAN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "307-637-5600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "WY",
"license": "6423A",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NE",
"license": "16963",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CO",
"license": "26688",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE/TRAILBLAZER HEALTH ENTERPRISES",
"identifier": "COA106329/COA106330",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115489300",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.