WIND RIVER PEDIATRICS, LLC
NPI 1215976253
Pediatrics in Riverton, WY

NPI Status: Active since June 05, 2006

Contact Information

1005 COLLEGE VIEW DR
RIVERTON, WY
ZIP 82501
Phone: (307) 857-5247
Fax: (307) 857-5215

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 53D1081744
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 03-24-2026

About WIND RIVER PEDIATRICS, LLC

This page provides the complete NPI Profile along with additional information for Wind River Pediatrics, Llc, a pediatrician established in Riverton, Wyoming operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1215976253 assigned on June 2006. The practitioner's primary taxonomy code is 208000000X with license number 7224A (WY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Michael R Fisher Md (Ceo)

NPI
1215976253
Provider Name
WIND RIVER PEDIATRICS, LLC
Entity Type
Organization
Location Address
1005 COLLEGE VIEW DR RIVERTON, WY 82501
Location Phone
(307) 857-5247
Location Fax
(307) 857-5215
Mailing Address
1005 COLLEGE VIEW DR RIVERTON, WY 82501
Mailing Phone
(307) 857-5247
Mailing Fax
(307) 857-5215
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2006
Last Update Date
08-22-2020
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A pediatrician like Wind River Pediatrics, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
7224A
License State
WY
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL R FISHER MD

Authorized Official Title
CEO
Authorized Official Phone
(307) 857-5247

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D1081744
Facility Type
Mobile Laboratory
Certificate Effective Date
March 25, 2024
Certificate Expiration Date
March 24, 2026
Laboratory Director
MICHAEL FISHER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wind River Pediatrics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WIND RIVER PEDIATRICS, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215976253
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222518712210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 8 + 7 + 1 + 2 + 2 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1215976253 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437111572JAMES R. WHITE, DO PC
Organization
Specialist1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-5234
1992744817WIND RIVER OBSTETRICS AND GYNECOLOGY LLC
Organization
Obstetrics & Gynecology1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-5217
1730121849 RICHARD L JONES MD
Individual
Internal Medicine1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-5280
1972546778 ROGER L GOSE MD
Individual
Internal Medicine1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-3488
1811923832 JOHN F RECKLING MD
Individual
Internal Medicine1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-3488
1952337917 RICHARD R SORENSON MD
Individual
Internal Medicine1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-3488
1912057290DR. AARON DEANE DONALDSON DPM
Individual
Podiatrist (Foot & Ankle Surgery)1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-3488
1265625297WYOMING EYE & LASER INC.
Organization
Ophthalmology1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 371-4294
1205016367FREMONT INTERNAL MEDICINE
Organization
Internal Medicine1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-5223
1518118017WIND RIVER PODIATRIC MEDICINE AND SURGERY, PC
Organization
Podiatrist1005 COLLEGE VIEW DR SUITE 4
RIVERTON, WY 82501
(307) 857-3488
1497982805RIVERTON PHYSICIAN PRACTICES LLC
Organization
Orthopaedic Surgery1005 COLLEGE VIEW DR SUITE 9
RIVERTON, WY 82501
(370) 857-3488
1447578067TARA L MERCER MD LLC
Organization
Pediatrics1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-3488
1649598269 TARA L MERCER MD
Individual
Pediatrics1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-3488
1417257155RIVERTON PHYSICIAN PRACTICES, LLC
Organization
Pediatrics1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-3488
1851336580DENNIS M. LEWIS MD PA
Organization
Surgery1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-5220
1053311506 MICHAEL R FISHER MD
Individual
Pediatrics1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-5247
1659709665RIVERTON PHYSICIAN PRACTICES
Organization
Internal Medicine1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-5221
1649208943 DAVID SCOTT BENDER MD
Individual
Surgery1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-3488
1568465797DR. JOSEPH PATRICK TURNER MD
Individual
Family Medicine1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-3488
1205875614RIVERTON PHYSICIAN PRACTICES, LLC
Organization
Emergency Medicine1005 COLLEGE VIEW DR
RIVERTON, WY 82501
(307) 857-5280

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215976253, enumerated in the NPI registry as an "organization" on June 05, 2006

The provider is located at 1005 College View Dr Riverton, Wy 82501 and the phone number is (307) 857-5247

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming and Mountain. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 53D1081744 for a "mobile laboratory" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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