Wyoming Medical Wellness Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WYOMING MEDICAL WELLNESS CENTER PC

Practice address

801 East 4TH Street
Suite 17
Gillette, WY 82716-4061

Phone

(307) 670-9200

Fax

(307) 257-7531

NPI assigned

Jul 12, 2019

Organization subpart

No

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

Authorized official

Name

Daniela S. Gerard, M.D. , PHD, FMCP

Title

Owner

Phone

(307) 670-9200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1881246551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 EAST 4TH STREET",
            "address_2": "SUITE 17",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164061",
            "telephone_number": "307-670-9200",
            "fax_number": "307-257-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 EAST 4TH STREET",
            "address_2": "SUITE 17",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164061",
            "telephone_number": "307-670-9200",
            "fax_number": "307-257-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING MEDICAL WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-670-9200",
        "authorized_official_credential": "M.D. , PHD, FMCP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wyoming Medical Associates, LLC
• Wyoming Medical Associates, LLC
• Wyoming Unity Solutions LLC
• Wyovision Associates of Gillette LLC
• Meghan K Young
• Nave J Young, CMT
• Melissa Marie Serreyn Younger

• Internal Medicine Physician in Gillette, WY
• Providers in Gillette, WY by specialty
• Internal Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.