NPIMap

Organization Active NPI

Olena Medical Wyoming LLC

  • Anesthesiology Physician
  • Gillette, WY
National Provider Identifier
1780128967
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10449A Issued in WY
Legal business name
OLENA MEDICAL WYOMING LLC
Practice address
222 S Gillette Ave
Suite 705
Gillette, WY 82716-3743
Phone
(307) 622-4277
Fax
(307) 939-7095
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. Harshvardhan Nandkishor Chaobal, D.O.
Title
Principal
Phone
(307) 622-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 10449A WY Primary

Addresses

Primary practice location

222 S Gillette Ave
Suite 705
Gillette, WY 82716-3743

Mailing address

222 S Gillette Ave
Suite 705
Gillette, WY 82716-3743
Phone (307) 622-4277

National Provider Directory

National Provider Directory

Locations

222 S Gillette Ave
Ste 705
Gillette, WY 82716
Phone (307) 622-4277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1780128967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S GILLETTE AVE",
            "address_2": "SUITE 705",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163743",
            "telephone_number": "307-622-4277",
            "fax_number": "307-939-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S GILLETTE AVE",
            "address_2": "SUITE 705",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163743",
            "telephone_number": "307-622-4277",
            "fax_number": "307-939-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLENA MEDICAL WYOMING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "CHAOBAL",
        "authorized_official_first_name": "HARSHVARDHAN",
        "authorized_official_middle_name": "NANDKISHOR",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "307-622-4277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "10449A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.