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BIG HORN PEDIATRICS
NPI 1477660447
Pediatrics in Gillette, WY

Active since August 24, 2006CLIA Certified · 2 labs
1308 W 4TH ST, GILLETTE, WY 82716(307) 687-1300(307) 682-1309 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2020, Jul 24, 2020, Feb 4, 2020 and 1 more (4 updates tracked since 2018).

About Big Horn Pediatrics NPPES

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

BIG HORN PEDIATRICS (NPI 1477660447) is a healthcare organization registered as a pediatrics in Gillette, Wyoming and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Buffalo, and lists Ann L Edwards, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477660447
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBIG HORN PEDIATRICS
Location Address1308 W 4TH STGillette, WY 82716-3330
Mailing Address1308 W 4th StGillette, WY 82716-3330 · (307) 687-1300 · Fax (307) 682-1309
Phone(307) 687-1300
Fax(307) 682-1309
Organization SubpartNo
Authorized OfficialAnn L EdwardsOffice Manager · (307) 687-1300
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 27, 20204 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1477660447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
1308 W 4TH ST, Gillette, WY 82716
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Secondary Practice Location 1

Location 1106 West AngusBuffalo, WY 82834 · Phone (307) 620-8845 · Fax (307) 682-1309

Other Identifiers 1

Other830306207WY · Tax I.d.#

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 MULTIPLE 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 2

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 of Waiver 53D0663229

Big Horn Pediatrics PC · Gillette, WY
Active · expires Feb 16, 2028
CLIA Number53D0663229
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDavid R. Fall
Laboratory Phone(307) 687-1300
Laboratory LocationBig Horn Pediatrics PC1308 West 4th Street, Gillette, WY 82716
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 53D2188511

Big Horn Pediatrics & Family Medicine · Buffalo, WY
Active · expires Dec 11, 2026
CLIA Number53D2188511
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorDavid Fall
Laboratory Phone(307) 620-8845
Laboratory LocationBig Horn Pediatrics & Family Medicine38 North Desmet Ave Suite 1, Buffalo, WY 82834
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. JULIE SHIBATA FALL M.D.
Pediatrics (Adolescent Medicine)
1308 W 4TH ST
GILLETTE, WY 82716
Campbell County (307) 687-1300
MINDY KEIL PA-C
Physician Assistant (Medical)
1308 W 4TH ST
GILLETTE, WY 82716
Campbell County (307) 687-1300
DR. DAVID ROBERT FALL M.D.
Pediatrics (Adolescent Medicine)
1308 W 4TH ST
GILLETTE, WY 82716
Campbell County (307) 687-1300
CAMPBELL COUNTY HOSPITAL DISTRICT
Pediatrics
1308 W 4TH ST
GILLETTE, WY 82716
Campbell County (307) 687-1300

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 Big Horn Pediatrics's NPI number?

The NPI number for Big Horn Pediatrics is 1477660447. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Big Horn Pediatrics located?

Big Horn Pediatrics is located at 1308 W 4th St, Gillette, WY 82716. The listed phone number is (307) 687-1300.

What is Big Horn Pediatrics's specialty?

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

Does Big Horn Pediatrics hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Big Horn Pediatrics accept?

Health plans from Blue Cross Blue Shield of Wyoming list Big Horn Pediatrics 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 Big Horn Pediatrics was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.