| Issifi Karimou, MD | |
|
625 Albany Ave, Torrington, WY 82240-1530 | |
| (307) 534-7058 | |
| (307) 532-5617 |
| Full Name | Issifi Karimou |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 625 Albany Ave, Torrington, Wyoming |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699938456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5794 (Nebraska) | Secondary |
| 282NR1301X | General Acute Care Hospital - Rural | 8745A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brookestone Home Health & Hospice | Gering, NE | Hospice |
| Community Hospital | Torrington, WY | Hospital |
| Regional West Medical Center | Scottsbluff, NE | Hospital |
| Goshen Healthcare Community | Torrington, WY | Nursing home |
| Community Hospital | Torrington, WY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Health Physicians West Llc | 5092978866 | 92 |
| Community Hospital | 6608784194 | 23 |
| Entity Name | Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669410643 PECOS PAC ID: 6608784194 Enrollment ID: O20040127001124 |
| Entity Name | Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1669410643 PECOS PAC ID: 6608784194 Enrollment ID: O20061104000311 |
| Entity Name | Banner Health Physicians West LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063778728 PECOS PAC ID: 5092978866 Enrollment ID: O20120607000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Issifi Karimou, MD 1301 E P St, Apt D, Torrington, WY 82240-3539 Ph: (307) 575-4018 | Issifi Karimou, MD 625 Albany Ave, Torrington, WY 82240-1530 Ph: (307) 534-7058 |