Organization Active NPI

Intermountain Internal Medicine PC

Doing business as Iim

  • Internal Medicine Physician
  • Laramie, WY
National Provider Identifier
1881720514
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERMOUNTAIN INTERNAL MEDICINE PC
Doing business as
Iim
Practice address
3116 Willett Dr
Laramie, WY 82072-5048
Phone
(307) 745-8899
Fax
(307) 745-4150
NPI assigned
Feb 26, 2007
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
William Michael Comley, MD
Title
Owner
Phone
(307) 745-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X WY Primary

Addresses

Primary practice location

3116 Willett Dr
Laramie, WY 82072-5048

Mailing address

3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 745-8899

Other identifiers 1

IdentifierTypeStateIssuer
CQ2018OtherWYRAILROAD MEDICARE

Other names 1

  • IIM Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1881720514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 WILLETT DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725048",
            "telephone_number": "307-745-8899",
            "fax_number": "307-745-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 WILLETT DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725048",
            "telephone_number": "307-745-8899",
            "fax_number": "307-745-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "COMLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-745-8999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ2018",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IIM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.