CAMPBELL COUNTY MEDICAL GROUP - GERIATRIC CLINIC
NPI 1164934121
Internal Medicine - Geriatric Medicine in Gillette, WY
NPI Status: Active since October 31, 2017
Contact Information
501 S BURMA AVE
GILLETTE, WY
ZIP 82716
Phone: (307) 688-3636
- Organization
- Internal Medicine
- Geriatric Medicine
- Accepts Insurance
About CAMPBELL COUNTY MEDICAL GROUP - GERIATRIC CLINIC
This page provides the complete NPI Profile along with additional information for Campbell County Medical Group - Geriatric Clinic, an internist established in Gillette, Wyoming operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1164934121 assigned on October 2017. The practitioner's primary taxonomy code is 207RG0300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Campbell County Medical Group - Geriatric Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Campbell County Medical Group - Geriatric Clinic. The authorized official of this NPI record is Douglas Adam Popp (Chief Financial Officer)
- NPI
- 1164934121
- Provider Legal Name
- CAMPBELL COUNTY HOSPITAL DISTRICT
- Other Organization Name
- CAMPBELL COUNTY MEDICAL GROUP - GERIATRIC CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 501 S BURMA AVE GILLETTE, WY 82716
- Location Phone
- (307) 688-3636
- Mailing Address
- PO BOX 3046 GILLETTE, WY 82717
- Mailing Phone
- (307) 688-2600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2017
- Last Update Date
- 04-03-2024
- Code Navigator
An internist like Campbell County Medical Group - Geriatric Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Geriatric Medicine
- Taxonomy Code
- 207RG0300X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207QH0002X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164934121, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GILLETTE, WY 82716
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164934121, enumerated as an "organization" on October 31, 2017.
The provider is located at 501 S BURMA AVE GILLETTE, WY 82716 and the phone number is (307) 688-3636.
Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.
The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming. Please consult your insurance carrier or call the provider to verify.
