Wyoming Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WYOMING ENDOSCOPY CENTER LLC

Practice address

7220 Comons Circle
Cheyenne, WY 82009

Phone

(307) 635-4141

Fax

(307) 635-6587

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Scott McRae, MD

Title

Owner/President

Phone

(307) 635-4141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Listed as

Wyoming Endoscopy CenterCCN 53C0001002

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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

• Anne Barnes, FNP

  • Family Nurse Practitioner
  • Cheyenne, WY
  • NPI 1649897406
  NPD (past)
• Brian Horner, M.D.

  • Internal Medicine Physician
  • Salt Lake City, UT
  • NPI 1336465939
  NPD (past)

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1710495700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 COMONS CIRCLE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82009",
            "telephone_number": "307-635-4141",
            "fax_number": "307-635-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 COMONS CIRCLE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82009",
            "telephone_number": "307-635-4141",
            "fax_number": "307-635-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "307-635-4141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wyoming Home Care
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• Wyoming Medication Donation Program
• Wyoming Neurology P.C.

• Ambulatory Surgical Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Ambulatory Surgical Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.