Active NPI
Valley View Emergency Physicians LLC
- Emergency Medicine Physician
- Evanston, WY
National Provider Identifier
1891308300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- VALLEY VIEW EMERGENCY PHYSICIANS LLC
- Practice address
- 190 Arrowhead Dr
Evanston, WY 82930-9266 - Phone
- (307) 789-3636
- NPI assigned
- Aug 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Grey Jr.
- Title
- Cfo
- Phone
- (956) 320-1073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
190 Arrowhead Dr
Evanston, WY 82930-9266
Mailing address
1573 Mallory LN
Brentwood, TN 37027-2895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Pinedale, WY
- NPI 1871971184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604966400000",
"number": "1891308300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 MALLORY LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 ARROWHEAD DR",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829309266",
"telephone_number": "307-789-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY VIEW EMERGENCY PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-25",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A",
"authorized_official_last_name": "GREY",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "956-320-1073",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.