Advanced ENT and Sinus Center of Wyoming PC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

7569A Issued in WY

Legal business name

ADVANCED ENT AND SINUS CENTER OF WYOMING PC

Practice address

2002 W Sunset Dr
Suite 2
Riverton, WY 82501-2283

Phone

(307) 857-7300

Fax

(307) 857-7310

NPI assigned

Jan 12, 2007

Organization subpart

No

Name

Dr. Zain Kadri, MD

Title

Medical Director

Phone

(307) 867-7300

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922158708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 W SUNSET DR",
            "address_2": "SUITE 2",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012283",
            "telephone_number": "307-857-7300",
            "fax_number": "307-857-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 W SUNSET DR",
            "address_2": "SUITE 2",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012283",
            "telephone_number": "307-857-7300",
            "fax_number": "307-857-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENT AND SINUS CENTER OF WYOMING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KADRI",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "307-867-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "WY",
            "license": "7569A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 307 Case Management Services
• Linda Adams, PTA
• Jeffrey Alcorn
• Catherine Rebecca Alexander
• Holly Caprice Allen, GED
• Archie Brooks Allison, MD
• Donna Matheny Alvarez, LPC, RPT

• All providers in Riverton, WY
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.