LAURENCE W. DEBOER M.D. – NPI #1043315872
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

LAURENCE DEBOER is a physician located in GILLETTE, WY. NPPES has assigned the NPI number 1043315872 to LAURENCE DEBOER on September 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAURENCE DEBOER below.

NPI Profile for
LAURENCE W. DEBOER

NPI Number
1043315872
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LAURENCE W. DEBOER
Credentials
M.D.
Primary location
430 MEDICAL ARTS CT.
GILLETTE, WY 82716
Phone: (307) 682-7661 Fax: (307) 682-7624
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for LAURENCE DEBOER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBLUE CROSSWY303946
otherBLUE CROSS GROUP NUMBERWY00783001
otherCLIAWY53D925429
otherMEDICAL LICENSE638
otherSTATE LICENSEWY5853A
medicaidWA8380925
medicaidWY7088727
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
WY 5853A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.