Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

WYOMING CLINIC OF MEDICINE, LLC
NPI 1306769096
Physician Assistant - Medical in Sheridan, WY

Active since July 31, 2026
528 COFFEEN AVE, SHERIDAN, WY 82801(307) 683-7138(307) 655-8770 Get Directions Write a Review

NPPES record added: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wyoming Clinic Of Medicine, Llc NPPES

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

WYOMING CLINIC OF MEDICINE, LLC (NPI 1306769096) is a healthcare organization registered as a medical in Sheridan, Wyoming and active in the NPI registry since July 2026. The organization lists Gordon Hendrickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1306769096
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameWYOMING CLINIC OF MEDICINE, LLC
Location Address528 COFFEEN AVESheridan, WY 82801-5312
Mailing Address1485 Oxbow DrSheridan, WY 82801-9622 · (307) 683-7138 · Fax (307) 655-8770
Fax(307) 655-8770
Organization SubpartNo
Authorized OfficialGordon HendricksonOwner · (307) 683-7138
Enumeration DateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
NPI 1306769096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
528 COFFEEN AVE, Sheridan, WY 82801

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

Other Providers at the Same Location NPPES 3

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

Physician Assistant
528 COFFEEN AVE
SHERIDAN, WY 82801
Chiropractor
528 COFFEEN AVE
SHERIDAN, WY 82801
Chiropractor
528 COFFEEN AVE
SHERIDAN, WY 82801

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 Wyoming Clinic Of Medicine, LLC's NPI number?

The NPI number for Wyoming Clinic Of Medicine, LLC is 1306769096. It was assigned to this organization in the NPPES registry on July 31, 2026.

Where is Wyoming Clinic Of Medicine, LLC located?

Wyoming Clinic Of Medicine, LLC is located at 528 Coffeen Ave, Sheridan, WY 82801. The listed phone number is (307) 683-7138.

What is Wyoming Clinic Of Medicine, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Wyoming Clinic Of Medicine, LLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.