CHEYENNE CHILDREN'S CLINIC, PC
NPI 1073537601
Pediatrics in Cheyenne, WY

Q: What is Cheyenne Children's Clinic, PC's NPI number?

The NPI number for Cheyenne Children's Clinic, PC is 1073537601. It was assigned to this organization in the NPPES registry on July 27, 2006.

Q: What is Cheyenne Children's Clinic, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 27, 2006CLIA Certified · 2 labs

2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001(307) 635-7961(307) 778-5812 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cheyenne Children's Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEYENNE CHILDREN'S CLINIC, PC (NPI 1073537601) is a healthcare organization registered as a pediatrics in Cheyenne, Wyoming and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Robin Theobald, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1073537601

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCHEYENNE CHILDREN'S CLINIC, PC

Location Address2301 HOUSE AVE, SUITE 405Cheyenne, WY 82001-3176

Mailing Address2301 House Ave, Suite 405Cheyenne, WY 82001-3176 · (307) 635-7961 · Fax (307) 778-5812

Phone(307) 635-7961

Fax(307) 778-5812

Organization SubpartNo

Authorized OfficialRobin TheobaldClinic Administrator · (307) 635-7961

Enumeration DateJuly 27, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1073537601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2301 HOUSE AVE, Cheyenne, WY 82001

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D0519657

Cheyenne Children's Clinic · Cheyenne, WY

Active · expires Feb 13, 2027

CLIA Number53D0519657

Laboratory TypePhysician Office

Certificate Effective DateFebruary 14, 2025

Certificate Expiration DateFebruary 13, 2027

Laboratory DirectorDanae Stampfil

Laboratory Phone(307) 635-7961

Laboratory LocationCheyenne Children's Clinic2301 House Avenue Suite 450, Cheyenne, WY 82001

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 53D2040015

Cheyenne Children's Clinic At College Drive · Cheyenne, WY

Active · expires Feb 2, 2028

CLIA Number53D2040015

Laboratory TypePhysician Office

Certificate Effective DateFebruary 3, 2026

Certificate Expiration DateFebruary 2, 2028

Laboratory DirectorMs. Brian Horst

Laboratory Phone(307) 635-7961

Laboratory LocationCheyenne Children's Clinic At College Drive4116 Laramie St, Cheyenne, WY 82001

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHEYENNE CARDIOVASCULAR CONSULTANTS, LLC

Internal Medicine (Cardiovascular Disease)

2301 HOUSE AVE, SUITE 301
CHEYENNE, WY 82001

Laramie County (307) 637-1600

DR. DAVID M LIND MD

Obstetrics & Gynecology

2301 HOUSE AVE, SUITE 400
CHEYENNE, WY 82001

Laramie County (307) 634-5216

DR. DAVID GARY SILVER MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2301 HOUSE AVE
CHEYENNE, WY 82001

Laramie County (307) 638-6624

WILLIAM JOSEPH HORAM MD

Pediatrics

2301 HOUSE AVE, SUITE 405
CHEYENNE, WY 82001

Laramie County (307) 635-7961

SEBASTINE I ELENDU MD

Internal Medicine (Critical Care Medicine)

2301 HOUSE AVE, SUITE 201
CHEYENNE, WY 82001

Laramie County (307) 638-7757

MAY KATHARINE COLLINS LEHMAN PA-C

Physician Assistant

2301 HOUSE AVE, SUITE 301
CHEYENNE, WY 82001

Laramie County (307) 637-1600

JEAN DENISE BASTA MD

Orthopaedic Surgery

2301 HOUSE AVE, SUITE 505
CHEYENNE, WY 82001

Laramie County (307) 632-9261

SUMMIT SPINE AND NEUROSURGERY ASSOCIATES

Neurological Surgery

2301 HOUSE AVE, SUITE 505
CHEYENNE, WY 82001

Laramie County (307) 632-9261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheyenne Children's Clinic, PC's NPI number?

The NPI number for Cheyenne Children's Clinic, PC is 1073537601. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Cheyenne Children's Clinic, PC located?

Cheyenne Children's Clinic, PC is located at 2301 House Ave Suite 405, Cheyenne, WY 82001. The listed phone number is (307) 635-7961.

What is Cheyenne Children's Clinic, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Cheyenne Children's Clinic, PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cheyenne Children's Clinic, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.