CAMPBELL COUNTY MEDICAL GROUP - ENT CLINIC
NPI 1205547742
Otolaryngology in Gillette, WY

Q: What is Campbell County Hospital District,'s NPI number?

The NPI number for Campbell County Hospital District, is 1205547742. It was assigned to this organization in the NPPES registry on December 6, 2022. The provider is doing business as Campbell County Medical Group - Ent Clinic.

Q: What is Campbell County Hospital District,'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since December 06, 2022

501 S BURMA AVE, GILLETTE, WY 82716(307) 688-0110(307) 688-0111 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 3, 2024, Feb 10, 2023, Dec 6, 2022 (3 updates tracked since 2022).

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About Campbell County Medical Group - Ent Clinic NPPES

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

CAMPBELL COUNTY MEDICAL GROUP - ENT CLINIC (NPI 1205547742) is a healthcare organization registered as an otolaryngology in Gillette, Wyoming and active in the NPI registry since December 2022. The organization lists Douglas Adam Popp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205547742

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameCAMPBELL COUNTY HOSPITAL DISTRICT,

Location Address501 S BURMA AVEGillette, WY 82716-3426

Mailing Address500 Ross St 154-0455, Po Box 392967Pittsburgh, PA 15251-9967

Phone(307) 688-0110

Fax(307) 688-0111

Organization SubpartNo

Authorized OfficialDouglas Adam PoppCfo · (307) 688-1523

Enumeration DateDecember 6, 2022

Last NPPES UpdateApril 3, 20243 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1205547742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X

Also ListedAudiologistTaxonomy 231H00000X

501 S BURMA AVE, Gillette, WY 82716

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Other Names 1

Doing Business AsCampbell County Medical Group - Ent Clinic

Group Practice 2

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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Campbell County Medical Group - Ent Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

285

Medicare enrollment records show 285 clinicians reassign Medicare billing to Campbell County Medical Group - Ent Clinic, which bills Medicare for the services they deliver. Of these, 49 practice at this address and 78 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Certified Registered Nurse Anesthetist (CRNA)63

Emergency Medicine54

Nurse Practitioner27

Family Practice21

Anesthesiology19

Diagnostic Radiology18

Internal Medicine16

Psychiatry10

22 other specialties57

Nearest to this location (20)

See all 285

Steven Clements, MD

Internal Medicine

NPI 1639412133

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Christina Coffield, NP

Nurse Practitioner

NPI 1083290340

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Cameron Davis, DO

Internal Medicine

NPI 1396322871

501 S BURMA AVE
Gillette, WY 82716

(307) 688-3535

✔ PECOS✔ Accepts MedicareSame address

Leslie Dowdy, LPC

Mental Health Counselor

NPI 1457619439

501 S BURMA AVE FL 5
Gillette, WY 82716

(307) 688-5000

✔ PECOS✔ Accepts MedicareSame address

Echo Downey, PMHNP-BC

Nurse Practitioner

NPI 1881296515

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Lauren Dusek, MD

Family Practice

NPI 1649763376

501 S BURMA AVE
Gillette, WY 82716

(307) 688-3636

✔ PECOS✔ Accepts MedicareSame address

Samuel George, MD

Emergency Medicine

NPI 1518616309

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Jonathan Hayden, M. D.

Emergency Medicine

NPI 1841242807

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1415

✔ PECOSSame address

Collin Mccloy, LCSW

Clinical Social Worker

NPI 1093070740

501 S BURMA AVE
Gillette, WY 82716

(307) 688-5000

✔ PECOS✔ Accepts MedicareSame address

Leslie Mclean, MD

Hospice/Palliative Care

NPI 1396753943

501 S BURMA AVE
Gillette, WY 82716

(307) 688-3052

✔ PECOS✔ Accepts MedicareSame address

David Mohlman, D.O.

Hospitalist

NPI 1477575686

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Byron Peterson

Certified Registered Nurse Anesthetist (CRNA)

NPI 1568716280

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Jessica Ratledge, MD

Anesthesiology

NPI 1912224452

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

William Salmon, MD

Psychiatry

NPI 1972122257

501 S BURMA AVE FL 5
Gillette, WY 82716

(307) 688-5000

✔ PECOS✔ Accepts MedicareSame address

Nicholas Stamato, MD

Interventional Cardiology

NPI 1801848593

501 S BURMA AVE STE 3500
Gillette, WY 82716

(307) 688-3700

✔ PECOS✔ Accepts MedicareSame address

Attila Barabas, M.D.

Urology

NPI 1285679670

501 S BURMA AVE
Gillette, WY 82716

(307) 688-2665

✔ PECOS✔ Accepts MedicareSame address

Judith Boyle, M.D.

Pediatric Medicine

NPI 1124062310

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1000

✔ PECOS✔ Accepts MedicareSame address

Alan Mitchell, MD

Diagnostic Radiology

NPI 1447257720

501 S BURMA AVE
Gillette, WY 82716

(307) 688-1600

✔ PECOSSame address

Thomas Repas, DO

Endocrinology

NPI 1134180516

501 S BURMA AVE
Gillette, WY 82716

(307) 688-3615

✔ PECOS✔ Accepts MedicareSame address

Sairav Shah, M.D.

Cardiovascular Disease (Cardiology)

NPI 1386614113

501 S BURMA AVENUE STE 3500
Gillette, WY 82716

(307) 688-3700

✔ PECOS✔ Accepts MedicareSame address

See all 285 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Campbell County Hospital District,'s NPI number?

The NPI number for Campbell County Hospital District, is 1205547742. It was assigned to this organization in the NPPES registry on December 6, 2022. The provider is doing business as Campbell County Medical Group - Ent Clinic.

Where is Campbell County Hospital District, located?

Campbell County Hospital District, is located at 501 S Burma Ave, Gillette, WY 82716. The listed phone number is (307) 688-0110.

What is Campbell County Hospital District,'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Campbell County Hospital District, enrolled in Medicare?

Yes. Campbell County Hospital District, is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Campbell County Hospital District,?

According to the CMS Revalidation Reassignment List (October 2026 release), 285 clinicians in 30 Medicare specialties reassign their Medicare billing to Campbell County Hospital District,. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (63), Emergency Medicine (54) and Nurse Practitioner (27). Of these, 49 practice at this address and 78 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Campbell County Hospital District, was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.