Urology Care Clinic, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

5500A Issued in WY

Legal business name

UROLOGY CARE CLINIC, P.C.

Practice address

433 E 19TH St
Cheyenne, WY 82001-4643

Phone

(307) 632-3111

Fax

(307) 778-8649

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Edith Diane Wilson, M.D.

Title

Owner

Phone

(307) 632-3111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780754317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E 19TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014643",
            "telephone_number": "307-632-3111",
            "fax_number": "307-778-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E 19TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014643",
            "telephone_number": "307-632-3111",
            "fax_number": "307-778-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CARE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-632-3111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WY",
            "license": "5500A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Wyoming (University of Wyoming Family Medicine)
• Uplift
• Sherry Upward, LPC
• Kathryn Urbanek, M.S., CCC-SLP
• Leslie Urbanek
• Aubri M Vahai
• Jessica Bishop Vahlenkamp, AU.D.
• Karen Ellis Valades, FNP
• Jeremy Brennan Valdez
• Raymond George Valdez, RPH

• Urology Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Urology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.