Active NPI
Jean Louise Maddy, DVM
- General Practice Physician
- Casper, WY
National Provider Identifier
1760247902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 1891
- Practice address
- 4700 S Valley Rd
Casper, WY 82604-5149 - Phone
- (307) 237-8387
- Fax
- (307) 237-8387
- NPI assigned
- Feb 16, 2024
- Last updated
- Feb 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 1891 | WY | Primary |
Addresses
Primary practice location
4700 S Valley Rd
Casper, WY 82604-5149
Mailing address
4700 S Valley Rd
Casper, WY 82604-5149
Phone (307) 237-8387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1891 | WY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1760247902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 S VALLEY RD",
"city": "CASPER",
"state": "WY",
"postal_code": "826045149",
"telephone_number": "307-237-8387",
"fax_number": "307-237-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 S VALLEY RD",
"city": "CASPER",
"state": "WY",
"postal_code": "826045149",
"telephone_number": "307-237-8387",
"fax_number": "307-237-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDY",
"first_name": "JEAN",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WY",
"license": "1891",
"primary": true
}
],
"identifiers": [],
"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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.