Provider Demographics
NPI:1508936360
Name:BILLINGS, JOHN ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALAN
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2510 E 15TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-4111
Mailing Address - Country:US
Mailing Address - Phone:307-234-9657
Mailing Address - Fax:
Practice Address - Street 1:1233 E 2ND ST
Practice Address - Street 2:WYOMING MEDICAL CENTER
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2926
Practice Address - Country:US
Practice Address - Phone:307-577-7201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY5088A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY050057419OtherRAILROAD MEDICARE
WY307534OtherBLUE SHIELD
WY102775100Medicaid
050083481OtherRAILROAD MEDICARE
305958OtherBLUE SHIELD
WYW23470OtherMEDICARE PTAN
050083481OtherRAILROAD MEDICARE
WYW23470OtherMEDICARE PTAN
305958OtherBLUE SHIELD