Wyoming Health Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5491A Issued in WY

Legal business name

WYOMING HEALTH MEDICAL GROUP, LLC

Practice address

1233 E 2ND St
Casper, WY 82601-2926

Phone

(800) 822-7201

Fax

(307) 577-2203

NPI assigned

Dec 3, 2008

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Laraway

Title

Cfo

Phone

(602) 747-4000

Specialties & licenses 9

Addresses

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954

  Member Of

  NPD member
• Banner Health

  dba Banner Hospice of Northern Colorado

  • Community Based Hospice Care Agency
  • Greeley, CO
  • NPI 1407409964

  Member Of

  NPD member

Locations

Practitioners 36

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.

• Kelsey J Berg

  • Occupational Therapist
  • Casper, WY
  • NPI 1730590639
  NPD (past)
• Paul Thomas Bettinger, M.D.

  • Internal Medicine Physician
  • Casper, WY
  • NPI 1346201076
  NPD (past)
• Michael J Bjornson, PH.D.

  • Clinical Psychologist
  • Cheyenne, WY
  • NPI 1558411025
  NPD (past)
• Chelsea Eddington, PA-C

  • Physician Assistant
  • Casper, WY
  • NPI 1083187199
  NPD (past)
• Roberto Fars, M.D.

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1417053836
  NPD (past)
• Richard M. Jaouen, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Casper, WY
  • NPI 1336177120
  NPD (past)
• Stephanie Marie Keeney, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Casper, WY
  • NPI 1184802951
  NPD (past)
• Michele R Mohr, M.D.

  • Hospitalist Physician
  • Casper, WY
  • NPI 1518905595
  NPD (past)
• Vera Lynn Nelson, MD

  • Internal Medicine Physician
  • Casper, WY
  • NPI 1265425938
  NPD (past)
• Julie A Novick, F.N.P.

  • Nurse Practitioner
  • Casper, WY
  • NPI 1467525519
  NPD (past)
• Janna Rone, OTR

  • Occupational Therapist
  • Casper, WY
  • NPI 1790196608
  NPD (past)
• Jennifer Lynn Rosics, PA-C

  • Medical Physician Assistant
  • Casper, WY
  • NPI 1356572580
  NPD (past)

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1730324872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012926",
            "telephone_number": "800-822-7201",
            "fax_number": "307-577-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WY",
            "license": "6674A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "5491A",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WY",
            "license": "6869A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WY",
            "license": "7364A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WY",
            "license": "8158A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WY",
            "license": "8244A",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WY",
            "license": "6384A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyoming Family Practice Clinic
• Wyoming Fundamental Healing and Recovery LLC
• Wyoming Health Fairs
• Wyoming Health Medical Group, LLC
• Wyoming Health Medical Group, LLC
• Wyoming Imaging Center
• Wyoming in-Home Care LLC
• Wyoming Independent Living Rehabilitation, Inc.
• Wyoming Institute for Better Living Inc
• Wyoming Kidney Center, LLC (U.S. Renal Care Wyoming Dialysis)

• Internal Medicine Physician in Casper, WY
• Providers in Casper, WY by specialty
• Internal Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.