RIVERTON ONCOLOGY PRACTICE,LLC – Hematology & Oncology Physician, NPI 1104065200

RIVERTON ONCOLOGY PRACTICE,LLC is a healthcare provider. based in Riverton, Wyoming. specializing in Hematology & Oncology Physician. The NPI Number for RIVERTON ONCOLOGY PRACTICE,LLC is 1104065200

Main info

Organization
Name
RIVERTON ONCOLOGY PRACTICE,LLC
NPI
1104065200
Phone
(307) 856-4688
Address
1035 ROSE LN
Authorized Official
MR. DONALD BIVACCA PRESIDENT
Enumeration Date
12 February 2009
Last Update Date
12 February 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

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Provider Addresses for RIVERTON ONCOLOGY PRACTICE,LLC

  • Rose Lane, Riverton, Fremont County, Wyoming, 82501, United States

    STE D

    RIVERTON, WY 825012286

    Phone: (307) 856-4688

    Fax: (307) 856-1740

    Type: Location

  • 758, West End Road, Little Falls, Town of Fairfield, Herkimer County, New York, 13365, United States

    POST FALLS, ID 838770758

    Phone: (307) 856-4688

    Fax: (307) 856-1740

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82501)

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Reviews

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Frequently asked questions

What number should I use to identify RIVERTON ONCOLOGY PRACTICE,LLC for billing?
Administrative and clinical systems typically use NPI 1104065200 for RIVERTON ONCOLOGY PRACTICE,LLC.
Does the public listing show RIVERTON ONCOLOGY PRACTICE,LLC as active?
RIVERTON ONCOLOGY PRACTICE,LLC's NPI record reflects an active status in NPPES.
What services align with RIVERTON ONCOLOGY PRACTICE,LLC's listing?
RIVERTON ONCOLOGY PRACTICE,LLC's public classification highlights Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RIVERTON ONCOLOGY PRACTICE,LLC?
RIVERTON ONCOLOGY PRACTICE,LLC is associated with Riverton, Wyoming in the same public data insurers reference.
Why is information missing for RIVERTON ONCOLOGY PRACTICE,LLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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