Active NPI
Barry Michael Wohl, M.D.
- Pediatrics Physician
- Sheridan, WY
National Provider Identifier
1851375547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2829A
- Practice address
- 916 Jackson Ave
Sheridan, WY 82801-2708 - Phone
- (307) 675-5555
- Fax
- (307) 675-5599
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2829A | WY | Primary |
Addresses
Primary practice location
916 Jackson Ave
Sheridan, WY 82801-2708
Mailing address
916 Jackson Ave
Sheridan, WY 82801-2708
Phone (307) 675-5555
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00941001 | Other | WY | BC BS GROUP NUMBER |
| 0193235 | Other | TX | MEDICA INSURANCE TX |
| 7705130 | Medicaid | SD | |
| 830245718 | Medicaid | NE | |
| 53D0673733 | Other | CLIA GROUP NUMBER | |
| 100048900 | Other | WY | WY MEDICAID GROUP NUMBER |
| 2829A | Other | WY | WY MEDICAL LICENSE |
| 419BMW98 | Other | WY | WY CONTROLLED SUBSTANCE |
| 100798000 | Medicaid | WY | |
| 301605 | Other | WY | BLUE CROSS BLUE SHIELD WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1851375547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 JACKSON AVE",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012708",
"telephone_number": "307-675-5555",
"fax_number": "307-675-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 JACKSON AVE",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012708",
"telephone_number": "307-675-5555",
"fax_number": "307-675-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHL",
"first_name": "BARRY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WY",
"license": "2829A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS GROUP NUMBER",
"identifier": "00941001",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA INSURANCE TX",
"identifier": "0193235",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7705130",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "830245718",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA GROUP NUMBER",
"identifier": "53D0673733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WY MEDICAID GROUP NUMBER",
"identifier": "100048900",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WY MEDICAL LICENSE",
"identifier": "2829A",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WY CONTROLLED SUBSTANCE",
"identifier": "419BMW98",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100798000",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD WY",
"identifier": "301605",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.