Organization Active NPI

Gerard P Cournoyer, MD

  • Family Medicine Physician
  • Rock Springs, WY
National Provider Identifier
1922282615
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5467A Issued in WY
Legal business name
GERARD P COURNOYER, MD
Practice address
1008 Sprucewood Dr
Rock Springs, WY 82901-4485
Phone
(307) 362-8834
Fax
(307) 362-8834
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Gerard P Cournoyer, MD
Title
Owner
Phone
(307) 362-8834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5467A WY Primary

Addresses

Primary practice location

1008 Sprucewood Dr
Rock Springs, WY 82901-4485

Mailing address

1008 Sprucewood Dr
Rock Springs, WY 82901-4485
Phone (307) 362-8834

Other identifiers 3

IdentifierTypeStateIssuer
1121154-00MedicaidWY
080089812OtherWYUHC-MEDICARE
306857OtherWYBCBS OF WY

National Provider Directory

National Provider Directory

Locations

2602 Commercial Way 110
Rock Springs, WY 82901
Phone (307) 382-9101

2620 Commercial Way
Ste 110
Rock Springs, WY 82901
Phone (307) 382-9101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1922282615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 SPRUCEWOOD DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014485",
            "telephone_number": "307-362-8834",
            "fax_number": "307-362-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 SPRUCEWOOD DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014485",
            "telephone_number": "307-362-8834",
            "fax_number": "307-362-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD P COURNOYER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "COURNOYER",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-362-8834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "5467A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121154-00",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC-MEDICARE",
            "identifier": "080089812",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WY",
            "identifier": "306857",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.