NPIMap

Organization Active NPI

Big Horn Family Medicine

  • Primary Care Clinic/Center
  • Worland, WY
National Provider Identifier
1831450394
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
28919 Issued in WY
Legal business name
BIG HORN FAMILY MEDICINE
Practice address
316 N 10TH St
Worland, WY 82401-2307
Phone
(307) 347-8885
Fax
(307) 347-2428
NPI assigned
May 31, 2012
Last updated
May 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Dr. Edward Zimmerman, M.D.NPI 1386646669
Title
Owner/Operator
Phone
(307) 347-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 28919 WY Primary

Addresses

Primary practice location

316 N 10TH St
Worland, WY 82401-2307

Mailing address

316 N 10TH St
Worland, WY 82401-2307
Phone (307) 347-8885

National Provider Directory

National Provider Directory
Tax ID family
Big Horn Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

316 N 10th St
Worland, WY 82401
Phone (307) 347-4151

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1831450394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N 10TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012307",
            "telephone_number": "307-347-8885",
            "fax_number": "307-347-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N 10TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012307",
            "telephone_number": "307-347-8885",
            "fax_number": "307-347-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HORN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "307-347-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WY",
            "license": "28919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.