Organization Active NPI

Wyoming Neurologic Associates LLC

  • Neurology Physician
  • Casper, WY
National Provider Identifier
1740371145
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
7035A Issued in WY
Legal business name
WYOMING NEUROLOGIC ASSOCIATES LLC
Practice address
2546 E 2ND St Ste 600
Casper, WY 82609-2063
Phone
(307) 265-4343
Fax
(307) 234-6339
NPI assigned
Sep 28, 2006
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Dr. David B Wheeer, MD
Title
President
Phone
(307) 265-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 7035A WY Primary

Addresses

Primary practice location

2546 E 2ND St Ste 600
Casper, WY 82609-2063

Mailing address

2546 E 2ND St Ste 600
Casper, WY 82609-2063
Phone (307) 265-4343

Other identifiers 1

IdentifierTypeStateIssuer
121198600MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000746 WY Part B Supplier - Clinic/Group Practice 7315949534 Receives reassigned benefits from 8 practitioners
Practice locations: Casper, WY

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2546 E 2nd St
Casper, WY 82609
Phone (307) 472-0597

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1621/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1740371145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST STE 600",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092063",
            "telephone_number": "307-265-4343",
            "fax_number": "307-234-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST STE 600",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092063",
            "telephone_number": "307-265-4343",
            "fax_number": "307-234-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING NEUROLOGIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "WHEEER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-265-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WY",
            "license": "7035A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121198600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.