Unknown Individual – Internal Medicine Physician, NPI 1508874868

Unknown Individual is a healthcare provider. based in Laramie, Wyoming. specializing in Internal Medicine Physician. They hold a License No. 7766A (WY). The NPI Number for Unknown Individual is 1508874868

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508874868
Phone
(307) 399-3119
Address
313 S 2ND ST
Deactivation Date
19 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Wyoming Community Foundation, 313, South 2nd Street, Downtown Laramie, Laramie, Albany County, Wyoming, 82073, United States

    SUITE B

    LARAMIE, WY 820703611

    Phone: (307) 399-3119

    Fax: (866) 827-3930

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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 82070)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1508874868?
NPI 1508874868 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Laramie?
Unknown Individual currently maps to Laramie, Wyoming in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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