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JACQUES D. BEVERIDGE MD, INC.
NPI 1114057080
Obstetrics & Gynecology in Lander, WY

Active since March 07, 2007
1460 MAIN ST, SUITE B, LANDER, WY 82520(307) 332-2223 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacques D. Beveridge Md, Inc. NPPES

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

JACQUES D. BEVERIDGE MD, INC. (NPI 1114057080) is a healthcare organization registered as an obstetrics & gynecology in Lander, Wyoming and active in the NPI registry since March 2007. The organization lists Frederick J Zebroski, Manager, as its authorized official.

NPPES Registry Identity

NPI1114057080
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJACQUES D. BEVERIDGE MD, INC.
Location Address1460 MAIN ST, SUITE BLander, WY 82520-2657
Mailing Address1460 Main St, Suite BLander, WY 82520-2657 · (307) 332-2223
Phone(307) 332-2223
Organization SubpartNo
Authorized OfficialFrederick J ZebroskiManager · (307) 332-2223
Enumeration DateMarch 7, 2007
Last NPPES UpdateOctober 24, 2007
✔ NPI 1114057080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WY · 6275A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 8746.0044 (WY)
1460 MAIN ST, Lander, WY 82520
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN9666WY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MS. PATRICIA DECLUE FNP
Nurse Practitioner (Family)
1460 MAIN ST
LANDER, WY 82520
Fremont County (307) 332-2223
JACQUES D. BEVERIDGE MD
Obstetrics & Gynecology
1460 MAIN ST, SUITE B
LANDER, WY 82520
Fremont County (307) 332-2223
POPO AGIE WOMEN'S CLINIC, INC
Nurse Practitioner (Adult Health)
1460 MAIN ST
LANDER, WY 82520
Fremont County (307) 332-2223
RUTH C ZEBROSKI WHNP
Nurse Practitioner (Women's Health)
1460 MAIN ST
LANDER, WY 82520
Fremont County (307) 332-2223

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 Jacques D. Beveridge MD, Inc.'s NPI number?

The NPI number for Jacques D. Beveridge MD, Inc. is 1114057080. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Jacques D. Beveridge MD, Inc. located?

Jacques D. Beveridge MD, Inc. is located at 1460 Main St Suite B, Lander, WY 82520. The listed phone number is (307) 332-2223.

What is Jacques D. Beveridge MD, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Jacques D. Beveridge MD, Inc. was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.