Provider Demographics
NPI:1114017167
Name:WOMENS HEALTH ASSOCIATES OF WY
Entity Type:Organization
Organization Name:WOMENS HEALTH ASSOCIATES OF WY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:SCALING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-577-4225
Mailing Address - Street 1:1125 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2903
Mailing Address - Country:US
Mailing Address - Phone:307-577-4225
Mailing Address - Fax:307-577-4229
Practice Address - Street 1:1125 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2903
Practice Address - Country:US
Practice Address - Phone:307-577-4225
Practice Address - Fax:307-577-4229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2811A207V00000X
WY6581A207V00000X
WY6681A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY116327200Medicaid
WY116327200Medicaid