| Banner Health Physicians West Llc | |
|
625 Albany Ave Torrington WY 82240-1530 | |
| (307) 532-2107 | |
| Not Available |
| Full Name | Banner Health Physicians West Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 625 Albany Ave, Torrington, Wyoming |
| Authorized Official Name and Position | Shiva Birdi (CEO BMG) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Physicians West Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians West Llc 625 Albany Ave Torrington WY 82240-1530 Ph: (307) 532-2107 |
| NPI Number | 1063778728 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 5092978866 |
|---|---|
| Medicare Enrollment ID | O20120607000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063778728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jennifer M Sesley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609948694 PECOS PAC ID: 7214822709 Enrollment ID: I20040326000742 |
| Provider Name | Marjorie L Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780698431 PECOS PAC ID: 1658352950 Enrollment ID: I20040525000001 |
| Provider Name | Diane L Noton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588656136 PECOS PAC ID: 3072587690 Enrollment ID: I20040820000340 |
| Provider Name | Jeffrey A Cecil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225039027 PECOS PAC ID: 0749258200 Enrollment ID: I20040922000463 |
| Provider Name | Mark A Flinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942370879 PECOS PAC ID: 5092773200 Enrollment ID: I20041220000898 |
| Provider Name | Lauri A Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154411957 PECOS PAC ID: 0042240111 Enrollment ID: I20050818000133 |
| Provider Name | Steve P Peasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861494460 PECOS PAC ID: 1153340286 Enrollment ID: I20051117000218 |
| Provider Name | Bonnie L Randolph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427153873 PECOS PAC ID: 9436178241 Enrollment ID: I20051121000957 |
| Provider Name | Timothy C Wirt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992741839 PECOS PAC ID: 6800818295 Enrollment ID: I20080905000219 |
| Provider Name | Brynn B Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326295858 PECOS PAC ID: 3476613522 Enrollment ID: I20081119000118 |
| Provider Name | Norma S Cantu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427291491 PECOS PAC ID: 5193876670 Enrollment ID: I20090623000436 |
| Provider Name | Natalie I Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770712507 PECOS PAC ID: 5597810655 Enrollment ID: I20090826000354 |
| Provider Name | David Kukafka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255301180 PECOS PAC ID: 3072573492 Enrollment ID: I20100511000268 |
| Provider Name | Todd Harrison Beckstead |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336135763 PECOS PAC ID: 4587788914 Enrollment ID: I20100907001050 |
| Provider Name | Marion N Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619083813 PECOS PAC ID: 1355466418 Enrollment ID: I20100913000523 |
| Provider Name | David M Lind |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043231582 PECOS PAC ID: 4789632993 Enrollment ID: I20101021001101 |
| Provider Name | Sharon Eskam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629095310 PECOS PAC ID: 1153379367 Enrollment ID: I20101109000049 |
| Provider Name | Thomas M Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952335846 PECOS PAC ID: 1951474543 Enrollment ID: I20101221000897 |
| Provider Name | Mary Frances F Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770517104 PECOS PAC ID: 0547458382 Enrollment ID: I20110117000115 |
| Provider Name | Issifi Karimou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699938456 PECOS PAC ID: 1658544473 Enrollment ID: I20111022000075 |
| Provider Name | Laura R Halley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427334739 PECOS PAC ID: 9436311479 Enrollment ID: I20120508000641 |
| Provider Name | Jose Luis Lopez Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164710182 PECOS PAC ID: 4385807619 Enrollment ID: I20120523000407 |
| Provider Name | John H Drury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700975570 PECOS PAC ID: 8628965720 Enrollment ID: I20130806000845 |
| Provider Name | Jaime L Mertz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649610205 PECOS PAC ID: 2062655616 Enrollment ID: I20130829000132 |
| Provider Name | Mesha L Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235491341 PECOS PAC ID: 2961636139 Enrollment ID: I20131002000379 |
| Provider Name | George Ma Fortier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942287347 PECOS PAC ID: 4880507946 Enrollment ID: I20140217001085 |
| Provider Name | Jeffery B Butte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033174198 PECOS PAC ID: 4183666597 Enrollment ID: I20140411000231 |
| Provider Name | Robert R Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629119383 PECOS PAC ID: 2567355480 Enrollment ID: I20140618002141 |
| Provider Name | Sameh G Abuerreish |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447246202 PECOS PAC ID: 8527145671 Enrollment ID: I20150403001023 |
| Provider Name | Kevin Donald Helling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730383654 PECOS PAC ID: 7113143272 Enrollment ID: I20150702001602 |
| Provider Name | April Rosalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255694352 PECOS PAC ID: 5092938084 Enrollment ID: I20151001000073 |
| Provider Name | Monica Janssen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356712293 PECOS PAC ID: 4981904539 Enrollment ID: I20151203001605 |
| Provider Name | Amy Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902292139 PECOS PAC ID: 8426350786 Enrollment ID: I20160105000471 |
| Provider Name | Loura D Heuer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972977403 PECOS PAC ID: 0749582377 Enrollment ID: I20160113001405 |
| Provider Name | Robert P Marshall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518978980 PECOS PAC ID: 6305849092 Enrollment ID: I20160314001241 |
| Provider Name | Kathy L Fuchs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881149532 PECOS PAC ID: 3779870555 Enrollment ID: I20160921002728 |
| Provider Name | Joseph Monfre |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568781045 PECOS PAC ID: 9234426651 Enrollment ID: I20160928000614 |
| Provider Name | Stacy L Henley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790146694 PECOS PAC ID: 5294023420 Enrollment ID: I20161004001130 |
| Provider Name | Lin-wang Dong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114064490 PECOS PAC ID: 9638244882 Enrollment ID: I20161111001906 |
| Provider Name | Shane B Rowan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831166636 PECOS PAC ID: 5496796856 Enrollment ID: I20161114000184 |
| Provider Name | Angela Lee Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477003192 PECOS PAC ID: 7315227931 Enrollment ID: I20161216000997 |
| Provider Name | Arnold Pfahnl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205894284 PECOS PAC ID: 9537234786 Enrollment ID: I20170302000277 |
| Provider Name | Jackie L Smith-lapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619412715 PECOS PAC ID: 1850677949 Enrollment ID: I20170403002029 |
| Provider Name | Brian L Henry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811124480 PECOS PAC ID: 5294989794 Enrollment ID: I20171229001653 |
| Provider Name | Jennifer Renee Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841707932 PECOS PAC ID: 5395009971 Enrollment ID: I20180507002086 |
| Provider Name | Aimee E Gough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902161664 PECOS PAC ID: 9931450517 Enrollment ID: I20180920001329 |
| Provider Name | Monica Nicole Teichert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542719 PECOS PAC ID: 1658625629 Enrollment ID: I20181109000604 |
| Provider Name | Michael I Stanley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902997414 PECOS PAC ID: 2567656960 Enrollment ID: I20181128001208 |
| Provider Name | Annmarie Valentine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174005367 PECOS PAC ID: 9436497815 Enrollment ID: I20190208003129 |
| Provider Name | Michael L Snarr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851821995 PECOS PAC ID: 2769717149 Enrollment ID: I20191028003009 |
| Provider Name | Garrett Micah Snyder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558680082 PECOS PAC ID: 2668642422 Enrollment ID: I20191216002581 |
| Provider Name | Megan L Makelky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114568292 PECOS PAC ID: 3779917687 Enrollment ID: I20191231002486 |
| Provider Name | Gregory T Christian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942730080 PECOS PAC ID: 8123363249 Enrollment ID: I20200702001299 |
| Provider Name | Rebecca L Slingwine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043665466 PECOS PAC ID: 6709179070 Enrollment ID: I20200805000510 |
| Provider Name | Christina Elize A Jara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386199958 PECOS PAC ID: 8022436690 Enrollment ID: I20200903003764 |
| Provider Name | Samuel I Chakola |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932485604 PECOS PAC ID: 6406142843 Enrollment ID: I20201001000667 |
| Provider Name | Whitney Hine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497139943 PECOS PAC ID: 4082915756 Enrollment ID: I20201005002492 |
| Provider Name | Eleanor F Vonstade |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376621698 PECOS PAC ID: 1951328699 Enrollment ID: I20201009000479 |
| Provider Name | Maxim E Salva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932395944 PECOS PAC ID: 4486994100 Enrollment ID: I20201019001198 |
| Provider Name | Cynthia L Gryboski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548223316 PECOS PAC ID: 8921991217 Enrollment ID: I20210304002301 |
| Provider Name | Siavash Panah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114122876 PECOS PAC ID: 5890911366 Enrollment ID: I20210305001836 |
| Provider Name | Micah Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972023331 PECOS PAC ID: 6002185964 Enrollment ID: I20210504002365 |
| Provider Name | Austin Matthews |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396002218 PECOS PAC ID: 5799905014 Enrollment ID: I20210525003337 |
| Provider Name | Jordan Nichole Lodel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235891169 PECOS PAC ID: 1658761366 Enrollment ID: I20211210001451 |
| Provider Name | Adrienne O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205431921 PECOS PAC ID: 3476944166 Enrollment ID: I20220107001214 |
| Provider Name | Nirav Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215939566 PECOS PAC ID: 9537292693 Enrollment ID: I20220118002508 |
| Provider Name | Maurice I Lyons |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386610194 PECOS PAC ID: 2961503743 Enrollment ID: I20220408001640 |
| Provider Name | Heather D Calvert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275858797 PECOS PAC ID: 8022303734 Enrollment ID: I20220427000964 |
| Provider Name | Robert Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710985551 PECOS PAC ID: 3779471297 Enrollment ID: I20220505000072 |
| Provider Name | Gregory Golden |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184821506 PECOS PAC ID: 7810049921 Enrollment ID: I20220523002656 |
| Provider Name | Brittani Leann Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831821818 PECOS PAC ID: 4082095567 Enrollment ID: I20220714001815 |
| Provider Name | Denise Cornejo-vucovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861668865 PECOS PAC ID: 5193990133 Enrollment ID: I20220725002581 |
| Provider Name | Hillary Morrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972952307 PECOS PAC ID: 3971896861 Enrollment ID: I20220815002504 |
| Provider Name | Gaurav Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023571379 PECOS PAC ID: 4981089240 Enrollment ID: I20220922001986 |
| Provider Name | Kumari Usha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861443020 PECOS PAC ID: 9234141243 Enrollment ID: I20221116002531 |
| Provider Name | Erica Mitchell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417044462 PECOS PAC ID: 7113911082 Enrollment ID: I20221130001249 |
| Provider Name | Daphne Rommereim Madden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740287556 PECOS PAC ID: 6709980287 Enrollment ID: I20221219000999 |
| Provider Name | Amanda Hirz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740905421 PECOS PAC ID: 8325417124 Enrollment ID: I20221219001167 |
| Provider Name | Kyle Hirsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356778161 PECOS PAC ID: 4981823580 Enrollment ID: I20230116000475 |
| Provider Name | Marisa Johnson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083615520 PECOS PAC ID: 0143111641 Enrollment ID: I20230222000801 |
| Provider Name | Rebecca Lolley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518375427 PECOS PAC ID: 0042518425 Enrollment ID: I20230315001292 |
| Provider Name | Robert Beatty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447264122 PECOS PAC ID: 0941254445 Enrollment ID: I20230412002084 |
| Provider Name | Sara Edeiken |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164740221 PECOS PAC ID: 8527204155 Enrollment ID: I20230707001729 |
| Provider Name | Tatiana T Rupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205209319 PECOS PAC ID: 8921308628 Enrollment ID: I20230707003355 |
| Provider Name | Laszlo Tamas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366478646 PECOS PAC ID: 3274676523 Enrollment ID: I20230804001686 |
| Provider Name | Marshall Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225655616 PECOS PAC ID: 1456712512 Enrollment ID: I20230804002973 |
| Provider Name | Ismaeel Mohamed Bakhsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184243685 PECOS PAC ID: 4385007301 Enrollment ID: I20230823004268 |
| Provider Name | Riley Nicole Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578346631 PECOS PAC ID: 8820443724 Enrollment ID: I20231012002690 |
| Provider Name | Gary Drizin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700848140 PECOS PAC ID: 5991767568 Enrollment ID: I20231012003489 |
| Provider Name | Benjamin Kautza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407083132 PECOS PAC ID: 3375851769 Enrollment ID: I20231016003253 |
| Provider Name | Don T Wynn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750582458 PECOS PAC ID: 3274633847 Enrollment ID: I20231018003513 |
| Provider Name | Isam Hasan Habib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588636435 PECOS PAC ID: 9234164963 Enrollment ID: I20231114002188 |
| Provider Name | Joseph Ezer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083637300 PECOS PAC ID: 0446307573 Enrollment ID: I20231115000985 |
| Provider Name | Robert Phillips |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1033182290 PECOS PAC ID: 8921007212 Enrollment ID: I20231115001263 |
| Provider Name | Hartmuth Bittner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104182245 PECOS PAC ID: 8820245053 Enrollment ID: I20231205002117 |
| Provider Name | Collin Sharp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659575348 PECOS PAC ID: 8123173176 Enrollment ID: I20231214000906 |
| Provider Name | Kimball Fuiks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932170362 PECOS PAC ID: 0840211660 Enrollment ID: I20231228002878 |
| Provider Name | Billy Earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114375664 PECOS PAC ID: 3870888431 Enrollment ID: I20231229001346 |
| Provider Name | Glenn W Mclaughlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447289970 PECOS PAC ID: 3072417427 Enrollment ID: I20240202003363 |
| Provider Name | Ahmed Zihni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619280997 PECOS PAC ID: 6305112558 Enrollment ID: I20240222002660 |
Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Campbell Dr, Torrington, WY 82240 Phone: 307-532-4181 | |
Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-532-2107 | |
Banner Medical Clinic Torrington Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-532-2107 | |
Peak Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Albany Ave, Torrington, WY 82240 Phone: 307-532-4091 | |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Campbell Dr, Torrington, WY 82240 Phone: 970-392-0900 Fax: 970-506-3796 | |
Banner Anesthesiologists Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Campbell Dr, Torrington, WY 82240 Phone: 480-684-5060 |