Wyoming Endocrine & Diabetes Clinic LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

WYOMING ENDOCRINE & DIABETES CLINIC LLC

Practice address

940 E 3Rd St
Suite 211
Casper, WY 82601-3237

Phone

(307) 237-8400

Fax

(307) 233-0290

NPI assigned

Sep 28, 2006

Organization subpart

Yes

Parent organization

WYOMING MEDICAL CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mr. Nathan Stutte

Title

External Financial Controller

Phone

(307) 577-2767

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Stenquist Sco

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana M Graney, RD

  • Nutritionist
  • Casper, WY
  • NPI 1144316027
  NPD (past)
• Babak Pazooki, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Joliet, IL
  • NPI 1396762316
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1962593368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51106",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82605",
            "telephone_number": "307-237-8400",
            "fax_number": "307-233-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST",
            "address_2": "SUITE 211",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013237",
            "telephone_number": "307-237-8400",
            "fax_number": "307-233-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING ENDOCRINE & DIABETES CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYOMING MEDICAL CENTER, INC.",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "STUTTE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "EXTERNAL FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "307-577-2767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06060001",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF9300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Casper, WY
• Providers in Casper, WY by specialty
• Endocrinology, Diabetes & Metabolism Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.