Individual provider Active NPI

Joseph Edward Tritchler Jr., PA-C

  • Physician Assistant
  • Worland, WY
National Provider Identifier
1740437557
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA655 Issued in WY
Practice address
1405 Howell Ave
Worland, WY 82401-4127
Phone
(307) 347-2555
NPI assigned
Aug 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA655 WY Primary

Addresses

Primary practice location

1405 Howell Ave
Worland, WY 82401-4127

Mailing address

1405 Howell Ave
Worland, WY 82401-4127
Phone (307) 347-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001598 WY Practitioner - Physician Assistant 0749268613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA655WYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Oct 1, 2017 Accepting new patients
Billings Clinic Physician Assistant CurrentSince Mar 13, 2017 Accepting new patients
Billings Clinic CurrentSince Mar 13, 2017 Accepting new patients
Tanana Tribal Council Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

107 H St
Poplar, MT 59255
Phone (406) 738-3491

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

1405 Howell Ave
Worland, WY 82401
Phone (307) 347-2555

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591401600000",
    "number": "1740437557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 HOWELL AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014127",
            "telephone_number": "307-347-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HOWELL AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014127",
            "telephone_number": "307-347-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITCHLER",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

Verify at the official NPI Registry.