CCMH UROLOGY CLINIC
NPI 1932404084
Urology in Gillette, WY

Active since January 21, 2011
501 S BURMA AVE - 3S-URO, GILLETTE, WY 82716(307) 688-3636 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ccmh Urology Clinic NPPES

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

CCMH UROLOGY CLINIC (NPI 1932404084) is a healthcare organization registered as an urology in Gillette, Wyoming and active in the NPI registry since January 2011. The organization lists Gerard A K, Coo, as its authorized official.

NPPES Registry Identity

NPI1932404084
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCAMPBELL COUNTY HOSPITAL DISTRICT
Location Address501 S BURMA AVE - 3S-UROGillette, WY 82716-3426
Mailing AddressPo Box 392967Pittsburgh, PA 15251-9967 · (307) 688-3636
Organization SubpartYesParent: Campbell County Memorial Hospital
Authorized OfficialGerard A KCoo · (307) 688-1000
Enumeration DateJanuary 21, 2011
Last NPPES UpdateMay 10, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1932404084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
501 S BURMA AVE - 3S-URO, Gillette, WY 82716

Other Names 1

Doing Business AsCcmh Urology Clinic

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ccmh Urology 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 Ccmh Urology Clinic, which bills Medicare for the services they deliver. Of these, 50 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
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114016193
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1524
✔ Accepts MedicareSame address
Urology
NPI 1285679670
501 S BURMA AVE
Gillette, WY 82716
(307) 688-2665
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1982100988
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1000
✔ PECOSSame address
Pediatric Medicine
NPI 1124062310
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1134684509
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1000
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1447219852
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1824
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1679194054
501 S BURMA AVE
Gillette, WY 82716
(307) 638-1000
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003837790
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1000
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225324668
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1415
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932513926
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235656489
501 S BURMA AVE
Gillette, WY 82716
(307) 688-3535
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1992061881
501 S BURMA AVE
Gillette, WY 82716
(307) 688-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1639558653
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1447257720
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1600
✔ PECOSSame address
Endocrinology
NPI 1134180516
501 S BURMA AVE
Gillette, WY 82716
(307) 688-3615
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1386614113
501 S BURMA AVENUE STE 3500
Gillette, WY 82716
(307) 688-3700
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1891726626
501 S. BURMA AVE
Gillette, WY 82716
(307) 688-3535
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1093070740
501 S BURMA AVE
Gillette, WY 82716
(307) 688-5000
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1396753943
501 S BURMA AVE
Gillette, WY 82716
(307) 688-3052
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1801848593
501 S BURMA AVE 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 1932404084. It was assigned to this organization in the NPPES registry on January 21, 2011. The provider is doing business as Ccmh Urology Clinic.

Where is Campbell County Hospital District located?

Campbell County Hospital District is located at 501 S Burma Ave - 3s-Uro, Gillette, WY 82716. The listed phone number is (307) 688-3636.

What is Campbell County Hospital District's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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, 50 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 May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.