Cody Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CODY IMAGING CENTER LLC

Practice address

720 Lindsay LN Ste D
Cody, WY 82414-4143

Phone

(307) 586-2958

Fax

(307) 586-4158

NPI assigned

Aug 31, 2021

Last updated

Nov 15, 2021By 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

Travis Graham, M.D.NPI 1417926528

Title

Medical Director

Phone

(307) 586-2958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Member of 1

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

• West Park Hospital District Long Term Care Center

  • Skilled Nursing Facility
  • Cody, WY
  • NPI 1467534081

  Member Of

  NPD member

Practitioners 2

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.

• Travis S Graham, MD

  • Diagnostic Radiology Physician
  • Cody, WY
  • NPI 1417926528
  NPD Authorized official
• Gregory H Cross II, MD

  • Diagnostic Radiology Physician
  • Cody, WY
  • NPI 1013900547
  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1730857343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-663-4800",
            "fax_number": "903-663-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LINDSAY LN STE D",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144143",
            "telephone_number": "307-586-2958",
            "fax_number": "307-586-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODY IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "307-586-2958",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cloud Peak Counseling Center (Oxbow Center)
• Cody Chiropractic Center PC (ProHealth Pain Relief and Wellness)
• Cody Clinic
• Cody Council on Aging (Cody Senior Center)
• Cody Dental Excellence
• Cody Regional Health EMS
• Cody Senior Living, LLC (Absaroka)
• Cody Surgical Associates LLC
• Brian Casey Coe, PARAMEDIC
• Abrae Jade Cole, LDN, CNS, NBC-HWC

• Radiology Clinic/Center in Cody, WY
• Providers in Cody, WY by specialty
• Radiology Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.