Depalma Pediatrics Dba Evanston Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

7258A Issued in WY

Legal business name

DEPALMA PEDIATRICS DBA EVANSTON PEDIATRICS

Practice address

195 Feather Way
Evanston, WY 82930-9227

Phone

(307) 789-1102

Fax

(307) 789-9273

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Marie Depalma, MD

Title

Pediatrics

Phone

(307) 789-1102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831184548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FEATHER WAY",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309227",
            "telephone_number": "307-789-1102",
            "fax_number": "307-789-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FEATHER WAY",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309227",
            "telephone_number": "307-789-1102",
            "fax_number": "307-789-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPALMA PEDIATRICS DBA EVANSTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEPALMA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PEDIATRICS",
        "authorized_official_telephone_number": "307-789-1102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "7258A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Diane Davis, OTR/L
• Kenneth Casey Davis, D.C.
• Denise Debarre, PHD
• Justin T Dennis, P.T.
• Katherine Dent
• Catherine Marie Depalma, MD
• Ronna J Dillinger, PHD
• Dee Dillree, D.C.
• Zane Blazzard Dillree, DC
• Ronald Janeiro Dolan, PMFT

• Pediatrics Physician in Evanston, WY
• Providers in Evanston, WY by specialty
• Pediatrics 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.