Aspenglow Obstetrics and Gynecology, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ASPENGLOW OBSTETRICS AND GYNECOLOGY, LLC

Practice address

125 Wyoming St
Lander, WY 82520-3919

Phone

(307) 206-1330

Fax

(307) 206-1331

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ken V. Holt, DO

Title

President

Phone

(307) 206-1330

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24666/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1710644307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WYOMING ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203919",
            "telephone_number": "307-206-1330",
            "fax_number": "307-206-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WYOMING ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203919",
            "telephone_number": "307-206-1330",
            "fax_number": "307-206-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPENGLOW OBSTETRICS AND GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-206-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amedisys Wyoming LLC
• Anam Cara Giving
• Steven Angell, LPC
• Katherine Marie Artery, OTR/L
• Kim K Asbell, MPT
• Todd Michael Bainter, D.O.
• Estelle Marie Baker, M.S, ,CCC-SLP
• Nichole Baker, P.T.A.
• Susan Jean Baker, D.D.S.
• Tania Leigh Baker, M.A.

• All providers in Lander, WY
• Obstetrics & Gynecology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.