Womens Clinic of Northeastern Wyoming PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2719A Issued in WY

Legal business name

WOMENS CLINIC OF NORTHEASTERN WYOMING PC

Practice address

212 W Burkitt St
Sheridan, WY 82801-4206

Phone

(307) 672-0401

Fax

(307) 672-0317

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Timothy James Scott, MD

Title

President of PC

Phone

(307) 672-0401

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Becky Lynn Olson, RNC

  • Women's Health Nurse Practitioner
  • Sheridan, WY
  • NPI 1679772677
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1982775508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W BURKITT ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014206",
            "telephone_number": "307-672-0401",
            "fax_number": "307-672-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W BURKITT ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014206",
            "telephone_number": "307-672-0401",
            "fax_number": "307-672-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CLINIC OF NORTHEASTERN WYOMING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT OF PC",
        "authorized_official_telephone_number": "307-672-0401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "2719A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "13730119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107189100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikenzie Winter
• Richelle Cynthia Witt
• Barry Michael Wohl, M.D.
• Wojciech Zolcik M.D. P.C.
• Jennifer Bryn Wolffing, LPC
• Wendy J Wood Neeson, FAMILY NURSE PRACTIT
• Lawrence Woodrow, PH.D.
• Rachelle Woody
• Sydney Worden
• Robert Michael Woznicki, MD

• Obstetrics & Gynecology Physician in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Obstetrics & Gynecology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.