| Jonathan Hayden, M D | |
|
501 S Burma Ave, Gillette, WY 82716-3426 | |
| (307) 688-1415 | |
| (307) 688-1420 |
| Full Name | Jonathan Hayden |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 501 S Burma Ave, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841242807 | NPI | - | NPPES |
| 113133800 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 8305 (Montana) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 6008A (Wisconsin) | Primary |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Hayden, M D 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 688-1415 | Jonathan Hayden, M D 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 688-1415 |
Dr. Scott L Diering, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1112 | |
Michael Stolpe, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1415 Fax: 307-688-1420 | |
Stanley Lawson, M. D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1415 Fax: 307-688-1420 | |
Theodore Lawson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1415 Fax: 307-688-1420 | |
Jason Perry, NRP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 502 Stocktrail Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Stephen Houmes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Samuel Logan George, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 |