OrganizationActive
Memorial Hospital of Laramie County
NPI 1053070953 · Hematology & Oncology Physician · Cheyenne, WY
Provider details
- NPI number
- 1053070953
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Memorial Hospital of Laramie County
- Organization subpart
- Yes
- Authorized official
- Erin Petersen, Payer Enrollment Specialist(307) 432-3664
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
310 E 24th St
Cheyenne, WY 82001-3126
Phone: (307) 634-9311
Fax: (307) 634-5627
Street-level locationGet directions
Mailing address
Po Box 20970
Cheyenne, WY 82003-7020
Other names (DBA / former)
- Other name
- Cheyenne Regional Cancer Services
Registry dates
- Enumerated
- 2021-12-08
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.