Memorial Hospital of Laramie County · Hematology & Oncology Physician

310 E 24th St, Cheyenne, WY 82001-3126

Overview

Memorial Hospital of Laramie County is a Hematology & Oncology Physician (organization) practicing in Cheyenne, Wyoming. The National Provider Identifier (NPI) is #1053070953, which was assigned on December 8, 2021, and the registration record was last updated on September 4, 2025. The practitioner's main practice location is at 310 E 24th St, Cheyenne, WY 82001-3126; the contact telephone number is 3076349311, and the fax number is 3076345627. The primary taxonomy of Memorial Hospital of Laramie County is Hematology & Oncology Physician (207RH0003X), with specialization in Hematology & Oncology. The authorized official for Memorial Hospital of Laramie County is Erin Petersen (Payer Enrollment Specialist).

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Provider Information

NPI 1053070953
Entity Type Organization
Organization Name MEMORIAL HOSPITAL OF LARAMIE COUNTY
Provider Name MEMORIAL HOSPITAL OF LARAMIE COUNTY
Practice Address 310 E 24th St
Cheyenne
WY 82001-3126
Practice Telephone 3076349311
Practice Fax Number 3076345627
Mailing Address Po Box 20970
Cheyenne
WY 82003-7020
Mailing Telephone 3079964777
Mailing Fax Number 3077738013
Certification Date 2025-09-04
Enumeration Date 2021-12-08
Last Update Date 2025-09-04
Is Organization Subpart Y
Parent Organization Legal Business Name MEMORIAL HOSPITAL OF LARAMIE COUNTY

Authorized Official Information

Official Name ERIN PETERSEN
Official Title PAYER ENROLLMENT SPECIALIST
Telephone 3074323664

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207RH0003XInternal MedicineHematology & Oncology193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Cheyenne Regional Cancer ServicesOther Name

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Memorial Hospital of Laramie County 214 E 23rd St, Cheyenne, WY 82001-3748Internal Medicine Physician2025-09-04
Memorial Hospital of Laramie County 214 E 23rd St, Cheyenne, WY 82001-3748Surgery Physician2021-12-09
Memorial Hospital of Laramie County 214 E 23rd St, Cheyenne, WY 82001-3748Geriatric Medicine (Internal Medicine) Physician2021-12-09
Memorial Hospital of Laramie County 214 E 23rd St, Cheyenne, WY 82001-3748Counselor2022-07-26

Taxonomy Information

Primary Taxonomy

Code 207RH0003X
Taxonomy Hematology & Oncology Physician
Classification Internal Medicine
Specialization Hematology & Oncology
Grouping Allopathic & Osteopathic Physicians
Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definition added, source added; 7/1/2011: modified source]
Additional Resources: http://www.osteopathic.org/certification

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Catholic Health Initiatives Colorado 1000 Lincoln St Ste 209, Fort Morgan, CO 80701-3290Hematology & Oncology Physician2025-08-19
Novant Health Thomasville Medical Center LLC 1010 Bethesda Ct, Winston Salem, NC 27103-3019Hematology & Oncology Physician2025-09-02
Amanda Isaac 7777 Forest Ln, Dallas, TX 75230-2571Hematology & Oncology Physician2025-09-03
Chesapeake Urology Associates, LLC 130 Love Point Rd Ste 105, Stevensville, MD 21666-2132Hematology & Oncology Physician2025-08-08
Greater Texas Multispecialty and Oncology PLLC 11819 West Ave Ste 1, San Antonio, TX 78216-2533Hematology & Oncology Physician2025-07-02
Victor Hugo Jimenez Zepeda 425 E 61st St # F8, New York, NY 10065-8722Hematology & Oncology Physician2025-08-26
Cancer Specialists LLC 7015 A C Skinner Pkwy Ste 1, Jacksonville, FL 32256-6932Hematology & Oncology Physician2025-06-12
Chesapeake Urology Associates, LLC 129 Lubrano Dr Ste 201, Annapolis, MD 21401-7567Hematology & Oncology Physician2025-08-08
American Oncology Partners, P.A. 1123 N Western Ave, Marion, IN 46952-2501Hematology & Oncology Physician2025-07-15
Northwestern Memorial Healthcare 675 N Saint Clair St Ste 17, Chicago, IL 60611-5975Hematology & Oncology Physician2025-06-17
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Location Information

Street Address 310 E 24TH ST
City CHEYENNE
State WY
Zip Code 82001-3126
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Cheyenne Regional Medical Center 310 E 24th St, Cheyenne, WY 82001-3126Registered Dietitian2022-07-14

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Toma F. Alger Schauffele 322 W 6th Ave, Cheyenne, WY 82001-1252Community Health/Public Health Clinical Nurse Specialist2007-02-14
Options2health LLC 1401 Airport Pkwy Ste 100, Cheyenne, WY 82001-1522Health Service Clinic/Center2025-06-19
Shani Re LLC 525 Randall Ave, Cheyenne, WY 82001Clinical Medical Laboratory2025-03-07
Dr. Paulus LLC 1401 Airport Pkwy Ste 100, Cheyenne, WY 82001-1522Internal Medicine Physician2023-07-31
Natalie Sciano 214 E 23rd St, Cheyenne, WY 82001Emergency Medicine Physician2015-04-14
Richard Gannon 109 E 8th Ave, Cheyenne, WY 82001-1315Case Manager/Care Coordinator2009-06-26
John B Paulus 1401 Airport Parkway, Ste 100, Cheyenne, WY 82001-1522Internal Medicine Physician2006-08-09
Healthywise Medical LLC 1401 Airport Pkwy Ste 100, Cheyenne, WY 82001-1522Family Medicine Physician2025-04-26
Nathaniel A Kaan 4003 Rawlins St, Cheyenne, WY 82001-1800Surgery Physician2016-04-14
Genoa Healthcare LLC 510 W 29th St Ste P, Cheyenne, WY 82001Durable Medical Equipment & Medical Supplies2007-08-27
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Memorial Hospital of Washington County 610 Sparta Rd, Sandersville, GA 31082-1860Rural Acute Care Hospital2006-06-26
Adams County Memorial Hospital 1040 W 950 S, Geneva, IN 46740-9800Rural Health Clinic/Center2024-12-20
Adams County Memorial Hospital 7465 Madison Ave, Indianapolis, IN 46227-6564Nursing Facility/Intermediate Care Facility2010-06-16
Newberry County Memorial Hospital 2605 Kinard St Ste 208, Newberry, SC 29108-2966Pediatrics Physician2025-01-20
Scotland County Memorial Hospital 450 E Sigler Ave Ste A, Memphis, MO 63555-1726Family Medicine Physician2006-08-04
Rush County Memorial Hospital 801 Locust, Lacrosse, KS 67548-0520Rural Health Clinic/Center2006-09-05
Henry County Memorial Hospital 6543 S State Road 109, Knightstown, IN 46148-9566Family Medicine Physician2025-02-03
Adams County Memorial Hospital 1401 N 13th St Ste 200, Decatur, IN 46733-3139Rural Health Clinic/Center2017-09-21
Abbeville County Memorial Hospital 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717Orthopaedic Surgery Physician2005-12-05
Scotland County Memorial Hospital 450 E Sigler Ave, Memphis, MO 63555-1726Critical Access Hospital2006-08-08

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.