NPIMap

Organization Active NPI

Intrawest Medical Services, P.C

Doing business as Emergency Physicians of Laramie

  • Emergency Medical Services (Emergency Medicine) Physician
  • Laramie, WY
National Provider Identifier
1770503518
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
INTRAWEST MEDICAL SERVICES, P.C
Doing business as
Emergency Physicians of Laramie
Practice address
255 N 30TH St
Emergency Department
Laramie, WY 82072-5140
Phone
(307) 742-2142
NPI assigned
Jul 21, 2006
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Dr. Donald L. Cantway, M.D.
Title
President
Phone
(307) 745-3169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X Primary

Addresses

Primary practice location

255 N 30TH St
Emergency Department
Laramie, WY 82072-5140

Mailing address

3908 E Grand Ave
Suite 201
Laramie, WY 82070-5173
Phone (307) 745-3168

Other identifiers 1

IdentifierTypeStateIssuer
106757500MedicaidWY

Other names 1

  • Emergency Physicians of Laramie Doing business as

National Provider Directory

National Provider Directory

Locations

3908 E Grand Ave
Ste 201
Laramie, WY 82070
Phone (307) 745-8931

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1770503518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 E GRAND AVE",
            "address_2": "SUITE 201",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705173",
            "telephone_number": "307-745-3168",
            "fax_number": "307-742-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725140",
            "telephone_number": "307-742-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRAWEST MEDICAL SERVICES, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "CANTWAY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-745-3169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106757500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Physicians of Laramie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.