JOHN D FERRIS PC NPI 1124153986

NPI Information

NPI: 1124153986
Provider Name: JOHN D FERRIS PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
300 N BROADWAY AVE
RIVERTON, WY
ZIP 82501
Phone: (307) 856-0009
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JOHN D FERRIS PC is a general practice in Riverton, WY. JOHN D FERRIS PC NPI is 1124153986. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 N BROADWAY AVE
RIVERTON, WY
ZIP 82501-545
Phone: (307) 856-0009

The provider's authorized official is John D Ferris .
The authorized official title is Owner and has the following contact phone number (307) 856-0009.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		2139A	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	108971400	MEDICAID	WYOMING
2	89334841	MEDICAID	COLORADO
3	=========	OTHER	WYOMING	EIN
4	91021394	MEDICAID	COLORADO
5	D24749	MEDICARE UPIN	WYOMING
6	C29281	MEDICARE ID-TYPE UNSPECIFIED	COLORADO
7	W302457	MEDICARE ID-TYPE UNSPECIFIED	WYOMING
8	=========012	OTHER	WISCONSIN	BCBS UNITED OF WISCONSIN
9	0000563350	OTHER	KANSAS	BC BS OF KS
10	010062665	OTHER	WYOMING	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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