ANTELOPE MEDICAL CONSULTANTS LLC – NPI #1124188545
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.

ANTELOPE MEDICAL CONSULTANTS LLC is a provider located in GILLETTE, WY. NPPES has assigned the NPI number 1124188545 to ANTELOPE MEDICAL CONSULTANTS LLC on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 last updated on Sep 11, 2025. 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 ANTELOPE MEDICAL CONSULTANTS LLC below.

NPI Profile for
ANTELOPE MEDICAL CONSULTANTS LLC

NPI Number
1124188545
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANTELOPE MEDICAL CONSULTANTS LLC
Primary location
430 S MEDICAL ARTS CT
GILLETTE, WY 82716-3364
Phone: (307) 682-7661 Fax: (307) 682-5074
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA MALODY
OWNER
Phone: (307) 682-7661
Updated
Identifiers

Identifiers for ANTELOPE MEDICAL CONSULTANTS LLC

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.

DescriptionIssuerStateIdentifier
otherBLUE CROSS CLINIC NUMBERWY00783001
medicaidWA7088727
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
363LF0000X
- Nurse Practitioner / Family
WY 18882.269
207R00000X
- Internal Medicine
WY 5806A

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.