Organization Active NPI

Cheyenne Regional Physicians Group, LLC

  • Internal Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1730847740
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Practice address
800 E 20TH St Ste 350
Cheyenne, WY 82001-3884
Phone
(307) 996-1560
Fax
(307) 996-1565
NPI assigned
Dec 7, 2021
Organization subpart
Yes
Parent organization
CHEYENNE REGIONAL PHYSICIANS GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Margaret E. Allen
Title
Director of Billing Services
Phone
(307) 773-8237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

800 E 20TH St Ste 350
Cheyenne, WY 82001-3884

Mailing address

PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 996-4777

Other names 1

  • Cheyenne Health Plaza Internal Medicine Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2160954Cheyenne Health Plaza Internal Medicine800 East 20TH Street, Suite 350, Cheyenne, WY 82001Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Summit Spine and Neurosurgery Associates17 organizations share this tax ID, including this one
Part of
Summit Spine and Neurosurgery Associates

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

800 E 20th St
Ste 350
Cheyenne, WY 82001
Phone (307) 637-7700

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1730847740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20970",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037020",
            "telephone_number": "307-996-4777",
            "fax_number": "307-773-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 20TH ST STE 350",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013884",
            "telephone_number": "307-996-1560",
            "fax_number": "307-996-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE REGIONAL PHYSICIANS GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEYENNE REGIONAL PHYSICIANS GROUP, LLC",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
        "authorized_official_telephone_number": "307-773-8237"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne Health Plaza Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.