Jean Stachon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3841A Issued in WY

Practice address

1208 Hilltop Dr Ste 105
Rock Springs, WY 82901-5858

Phone

(307) 382-8644

Fax

(307) 382-8645

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1992890933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR STE 105",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015858",
            "telephone_number": "307-382-8644",
            "fax_number": "307-382-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR STE 105",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015858",
            "telephone_number": "307-382-8644",
            "fax_number": "307-382-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHON",
        "first_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "3841A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Wyoming Rehabilitation Center
• Southwest Wyoming Rehabilitation Center
• David Felix Sowada, M.D.
• Christina Leah Springer
• Ron Squire
• Joshua Staples, PT, DPT
• Anglea K Starcevich
• Larry Allen Steffensmeier, D.C.
• Monica Stephenson
• Tania Stephenson

• Family Medicine Physician in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.