Big Horn Pediatrics
NPI 1477660447ActiveOrganization· Pediatrics· Gillette, WY
Pediatrics in Gillette, Wyoming, registered in NPPES in August 2006. The authorized official on file is Ann L. Edwards, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477660447 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2006 |
| Last updated in NPPES | Jul 27, 2020 |
| Certified by provider | Jul 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WY) |
|---|
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