1891710547 NPI number — DR. MARK EDWARD HOWSHAR MD

Table of content: DR. ROBERT R BISSET M.D. (NPI 1003812959)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891710547 NPI number — DR. MARK EDWARD HOWSHAR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWSHAR
Provider First Name:
MARK
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891710547
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2003 BLUEGRASS CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHEYENNE
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82009-7329
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-634-7711
Provider Business Mailing Address Fax Number:
307-634-7760

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2003 BLUEGRASS CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHEYENNE
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82009-7329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-634-7711
Provider Business Practice Location Address Fax Number:
307-634-7760
Provider Enumeration Date:
07/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085B0100X , with the licence number:  21149 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085B0100X , with the licence number: 37616 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 14051 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: TM2012-0809 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 25.000246 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 75893 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085B0100X , with the licence number: 6390A , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 107532200 . This is a "MEDICAID WY EDS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20739 . This is a "BCBS OF NEBRASKA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5852001 . This is a "BCBS OF WYOMING" identifier . This identifiers is of the category "OTHER".
  • Identifier: 14385333 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5852001 . This is a "BCBS OF WY KID CARE CHIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 98633 . This is a "MEDICARE NEBRASKA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5852001 . This is a "BCBS FEDERAL WY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20478 . This is a "MEDICARE WYOMING" identifier . This identifiers is of the category "OTHER".
  • Identifier: CO0211 . This is a "HEALTH NET OF AZ" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com