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GOOSE CREEK PEDIATRICS PC
NPI 1407892300
Pediatrics in Sheridan, WY

Active since June 21, 2006CLIA 53D0903460 · Microscopy
1701 W 5TH ST, STE A, SHERIDAN, WY 82801(307) 672-7700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Goose Creek Pediatrics Pc NPPES

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

GOOSE CREEK PEDIATRICS PC (NPI 1407892300) is a healthcare organization registered as a pediatrics in Sheridan, Wyoming and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through July 20, 2027 and lists Mary I Bowers, Owner, as its authorized official.

NPPES Registry Identity

NPI1407892300
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGOOSE CREEK PEDIATRICS PC
Location Address1701 W 5TH ST, STE ASheridan, WY 82801-2748
Mailing Address1701 W 5th St, Ste ASheridan, WY 82801-2748 · (307) 672-7700
Phone(307) 672-7700
Organization SubpartNo
Authorized OfficialMary I BowersOwner · (307) 672-7700
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407892300 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.
1701 W 5TH ST, Sheridan, WY 82801
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Other Identifiers 1

Other8820875WY · Montana Medicaid

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 53D0903460

Goose Creek Pediatrics · Sheridan, WY
Active · expires Jul 20, 2027
CLIA Number53D0903460
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorDr. Mary I. Bowers
Laboratory Phone(307) 672-7700
Laboratory LocationGoose Creek Pediatrics1701 West Fifth Street Suite A, Sheridan, WY 82801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

MARY I BOWERS MD
Pediatrics
1701 W 5TH ST, STE A
SHERIDAN, WY 82801
Sheridan County (307) 672-7700
JAN MARIE MCMANAMEN
Case Manager/Care Coordinator
1701 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-7702

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 Goose Creek Pediatrics PC's NPI number?

The NPI number for Goose Creek Pediatrics PC is 1407892300. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Goose Creek Pediatrics PC located?

Goose Creek Pediatrics PC is located at 1701 W 5th St Ste A, Sheridan, WY 82801. The listed phone number is (307) 672-7700.

What is Goose Creek Pediatrics PC's specialty?

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

Does Goose Creek Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 53D0903460) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Goose Creek Pediatrics PC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Goose Creek Pediatrics PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Goose Creek Pediatrics PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.