Individual provider Active NPI

Ryan Gregory Firth, MD

  • Pediatrics Physician
  • Lander, WY
National Provider Identifier
1689847485
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8120A Issued in WY
Practice address
745 Buena Vista Dr
Lander, WY 82520-3431
Phone
(307) 332-2941
Fax
(307) 332-1920
NPI assigned
Apr 12, 2008
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2008005511 MO
Pediatrics Physician 208000000X 8120A WY Primary

Addresses

Primary practice location

745 Buena Vista Dr
Lander, WY 82520-3431

Mailing address

745 Buena Vista Dr
Lander, WY 82520-3431
Phone (307) 332-2941

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
I20090904000014 WY Practitioner - Family PracticePractitioner - Pediatric Medicine 5698820132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
Education
University of Colorado School of Medicine, Denver, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lander Medical Clinic PCGroup PAC ID 1355323940, 18 clinicians

Practice addresses (Care Compare)

745 Buena Vista Dr
Lander, WY 82520-3431
Phone (307) 332-2941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008005511MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lander Valley Physician Practices, LLC CurrentSince Nov 4, 2014 Accepting new patients
Lander Medical Clinic, P.C. Current Accepting new patients
Lander Medical Clinic, PC CurrentSince Feb 24, 2015 Accepting new patients
Memorial Hospital of Converse County PastSince Feb 24, 2015 Accepting new patients

Locations

745 Buena Vista Dr
Lander, WY 82520
Phone (307) 332-2941

219 S 2nd St W
Riverton, WY 82501
Phone (307) 856-6591

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2483/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ryan.firth.1@2483.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1689847485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 BUENA VISTA DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203431",
            "telephone_number": "307-332-2941",
            "fax_number": "307-332-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 BUENA VISTA DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203431",
            "telephone_number": "307-332-2941",
            "fax_number": "307-332-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRTH",
        "first_name": "RYAN",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-12",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2008005511",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "8120A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

Verify at the official NPI Registry.