| Billings Clinic Cody | |
|
201 Yellowstone Ave Cody WY 82414-9313 | |
| (307) 527-7561 | |
| Not Available |
| Full Name | Billings Clinic Cody |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Yellowstone Ave, Cody, Wyoming |
| Authorized Official Name and Position | Kathleen Rossie Quinones (CFO) |
| Authorized Official Contact | 4064356445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Billings Clinic Cody Po Box 35100 Billings MT 59107-5100 Ph: (406) 238-2500 | Billings Clinic Cody 201 Yellowstone Ave Cody WY 82414-9313 Ph: (307) 527-7561 |
| NPI Number | 1346288347 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Medicare PECOS PAC ID | 6002993516 |
|---|---|
| Medicare Enrollment ID | O20080527000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346288347 | NPI | - | NPPES |
| Provider Name | Michael a Morone |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407954456 PECOS PAC ID: 4082504832 Enrollment ID: I20040317000195 |
| Provider Name | Adair M Bowlby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487730768 PECOS PAC ID: 5496729246 Enrollment ID: I20040825001588 |
| Provider Name | Paul S Byorth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891868485 PECOS PAC ID: 1355316787 Enrollment ID: I20041213000977 |
| Provider Name | Gregory H Cross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013900547 PECOS PAC ID: 6507849908 Enrollment ID: I20050324000369 |
| Provider Name | Elizabeth J Fabrizio |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730290594 PECOS PAC ID: 8628005881 Enrollment ID: I20050720000394 |
| Provider Name | Tanja L Sloan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225046139 PECOS PAC ID: 1658273602 Enrollment ID: I20050922000855 |
| Provider Name | John Schallenkamp |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265455018 PECOS PAC ID: 5092774109 Enrollment ID: I20060110000705 |
| Provider Name | Kelly K Simone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770529703 PECOS PAC ID: 8921014283 Enrollment ID: I20060224000165 |
| Provider Name | Travis S Graham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417926528 PECOS PAC ID: 8921036294 Enrollment ID: I20060711000454 |
| Provider Name | Mark S Jones |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1700998572 PECOS PAC ID: 7315936234 Enrollment ID: I20070524000602 |
| Provider Name | Adam S Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689763047 PECOS PAC ID: 3476571167 Enrollment ID: I20071017000077 |
| Provider Name | Lawrence W Klee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568557080 PECOS PAC ID: 7416907423 Enrollment ID: I20080103000567 |
| Provider Name | Barbara S Dudczak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821026246 PECOS PAC ID: 5496731119 Enrollment ID: I20080124000135 |
| Provider Name | Douglas G Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871662817 PECOS PAC ID: 5991693780 Enrollment ID: I20090716000421 |
| Provider Name | Dean a Bruschwein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568482081 PECOS PAC ID: 3375433576 Enrollment ID: I20090716000732 |
| Provider Name | Jeffry O Lindenbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679669261 PECOS PAC ID: 8628963659 Enrollment ID: I20090821000659 |
| Provider Name | Scott Riggins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679671598 PECOS PAC ID: 8820143944 Enrollment ID: I20090825000726 |
| Provider Name | Christopher C Goulet |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437137155 PECOS PAC ID: 1658334842 Enrollment ID: I20090917000712 |
| Provider Name | Kendrick Trostel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174537658 PECOS PAC ID: 8224939079 Enrollment ID: I20091120000394 |
| Provider Name | Lisa M Hobby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669461968 PECOS PAC ID: 6406048271 Enrollment ID: I20101012000695 |
| Provider Name | Nathaniel Rieb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508068834 PECOS PAC ID: 9234324179 Enrollment ID: I20101117000610 |
| Provider Name | Charles Scott Polley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215028642 PECOS PAC ID: 8123216660 Enrollment ID: I20101227000868 |
| Provider Name | Lisa E Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477527299 PECOS PAC ID: 2567425648 Enrollment ID: I20110124000554 |
| Provider Name | Zachary M Bland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467664235 PECOS PAC ID: 2466506340 Enrollment ID: I20111213000283 |
| Provider Name | George E Knight |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306966858 PECOS PAC ID: 1052464815 Enrollment ID: I20111213000335 |
| Provider Name | Gail S Kleman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932292414 PECOS PAC ID: 0446392054 Enrollment ID: I20111213000563 |
| Provider Name | Roger G Santala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396828059 PECOS PAC ID: 5193787596 Enrollment ID: I20111213000928 |
| Provider Name | John C Sillery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699752709 PECOS PAC ID: 1456389402 Enrollment ID: I20120119000262 |
| Provider Name | Angela M Redder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891070744 PECOS PAC ID: 2769659408 Enrollment ID: I20120119000843 |
| Provider Name | Kristin D Scott-tillery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730305095 PECOS PAC ID: 9436320918 Enrollment ID: I20120202000193 |
| Provider Name | Brian R Rah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518995158 PECOS PAC ID: 6608962691 Enrollment ID: I20120207000171 |
| Provider Name | Scott R Paulsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538363635 PECOS PAC ID: 2365533783 Enrollment ID: I20121204000260 |
| Provider Name | Robert K Merchant |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487754057 PECOS PAC ID: 2264429810 Enrollment ID: I20130128000444 |
| Provider Name | Robert J Pueringer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457442295 PECOS PAC ID: 1456304872 Enrollment ID: I20130612000355 |
| Provider Name | Loren P Budge |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942414594 PECOS PAC ID: 9739223207 Enrollment ID: I20130618000094 |
| Provider Name | Joseph Kay |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1902996580 PECOS PAC ID: 5698746931 Enrollment ID: I20130829000251 |
| Provider Name | Kathryn Waitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881755528 PECOS PAC ID: 7416919451 Enrollment ID: I20140421002079 |
| Provider Name | Craig J Edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477859015 PECOS PAC ID: 7719103266 Enrollment ID: I20140718001964 |
| Provider Name | Douglas E Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073696969 PECOS PAC ID: 8527292739 Enrollment ID: I20141022002797 |
| Provider Name | Steven R Fischer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710098587 PECOS PAC ID: 6608916911 Enrollment ID: I20141203000580 |
| Provider Name | Amber D Zito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902033442 PECOS PAC ID: 9133273964 Enrollment ID: I20141208000093 |
| Provider Name | Jeremy M Archer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093847360 PECOS PAC ID: 0143379552 Enrollment ID: I20150105000460 |
| Provider Name | Breanne E Terakedis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609010578 PECOS PAC ID: 7517199524 Enrollment ID: I20150320001997 |
| Provider Name | Collin Fischer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518933787 PECOS PAC ID: 7618106568 Enrollment ID: I20150924002812 |
| Provider Name | Tara S Bowman Seitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215999222 PECOS PAC ID: 8123063591 Enrollment ID: I20151102002721 |
| Provider Name | Stephen W Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093185191 PECOS PAC ID: 3375843741 Enrollment ID: I20151208001505 |
| Provider Name | Manfred Baumgartner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467618645 PECOS PAC ID: 0648496133 Enrollment ID: I20160129001777 |
| Provider Name | Joseph E Tritchler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740437557 PECOS PAC ID: 0749268613 Enrollment ID: I20160506001598 |
| Provider Name | Eric J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447561360 PECOS PAC ID: 6002088697 Enrollment ID: I20160816000071 |
| Provider Name | Betsey J Neddermeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376999870 PECOS PAC ID: 4284913294 Enrollment ID: I20161115002272 |
| Provider Name | Luke Oakley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548571656 PECOS PAC ID: 1355563339 Enrollment ID: I20170111000562 |
| Provider Name | Sarah-anne Victoria Solberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114462124 PECOS PAC ID: 7517241805 Enrollment ID: I20170306001493 |
| Provider Name | David B Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366854408 PECOS PAC ID: 9032411129 Enrollment ID: I20170928001570 |
| Provider Name | Kayla E Nagle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053821066 PECOS PAC ID: 0941576771 Enrollment ID: I20171024000762 |
| Provider Name | Mariah Lei White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871850040 PECOS PAC ID: 2163663162 Enrollment ID: I20180619002221 |
| Provider Name | Ronald L Linfesty |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972583045 PECOS PAC ID: 4183755366 Enrollment ID: I20180626000840 |
| Provider Name | Sarah Elizabeth Stilwill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902078751 PECOS PAC ID: 5395989768 Enrollment ID: I20180719002652 |
| Provider Name | William Frederick Dresen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205152469 PECOS PAC ID: 5890924617 Enrollment ID: I20180913000008 |
| Provider Name | John R Gregory |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861504847 PECOS PAC ID: 6709921455 Enrollment ID: I20181026001819 |
| Provider Name | Erin Cheasty Grantham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568748424 PECOS PAC ID: 5991949224 Enrollment ID: I20181107001993 |
| Provider Name | Lanora Bellamy Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942631213 PECOS PAC ID: 0749410108 Enrollment ID: I20181121002571 |
| Provider Name | Daniel F Alderman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982666442 PECOS PAC ID: 2769466580 Enrollment ID: I20190107003372 |
| Provider Name | Aleksandra M Kwasnik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841571494 PECOS PAC ID: 0446491385 Enrollment ID: I20190211000840 |
| Provider Name | Christina Ann Kavran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386910875 PECOS PAC ID: 5294974127 Enrollment ID: I20190501000811 |
| Provider Name | Derek Paul Wille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649629965 PECOS PAC ID: 1052682846 Enrollment ID: I20190612002568 |
| Provider Name | John Scott Brandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912943978 PECOS PAC ID: 4183603939 Enrollment ID: I20190617003319 |
| Provider Name | Adam Embree Dowell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790104826 PECOS PAC ID: 5698009066 Enrollment ID: I20190619001971 |
| Provider Name | Joshua Delavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245403294 PECOS PAC ID: 1456599331 Enrollment ID: I20190729001076 |
| Provider Name | Simone Mikhael Davion |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497992275 PECOS PAC ID: 9436329190 Enrollment ID: I20190816000471 |
| Provider Name | Christopher Vernon Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003278607 PECOS PAC ID: 3870866742 Enrollment ID: I20190821004866 |
| Provider Name | Jennifer Lindsay Warner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306405790 PECOS PAC ID: 5193054526 Enrollment ID: I20190911000867 |
| Provider Name | Dana G Halbrooks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003837790 PECOS PAC ID: 6305890872 Enrollment ID: I20200316000336 |
| Provider Name | Michael J Belsky |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114347788 PECOS PAC ID: 4082839667 Enrollment ID: I20200327001404 |
| Provider Name | Jolene C Karls |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528579828 PECOS PAC ID: 2163781436 Enrollment ID: I20200722003027 |
| Provider Name | Christian Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417583196 PECOS PAC ID: 2264863299 Enrollment ID: I20200803002887 |
| Provider Name | Andrew G Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205872918 PECOS PAC ID: 5193914562 Enrollment ID: I20200810003464 |
| Provider Name | Sean T Jones |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790102606 PECOS PAC ID: 0143447326 Enrollment ID: I20200921000933 |
| Provider Name | Eric Howell |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942543608 PECOS PAC ID: 3678881703 Enrollment ID: I20201012001521 |
| Provider Name | Tarek Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578978326 PECOS PAC ID: 1052657640 Enrollment ID: I20201026001428 |
| Provider Name | Emily C Harnden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932408473 PECOS PAC ID: 2062738685 Enrollment ID: I20210410000044 |
| Provider Name | Christopher L Ideen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881081560 PECOS PAC ID: 5193039717 Enrollment ID: I20210519002634 |
| Provider Name | Mark P Piedra |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457567703 PECOS PAC ID: 0941455521 Enrollment ID: I20210520002073 |
| Provider Name | Marlin D Richardson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467694844 PECOS PAC ID: 1355665654 Enrollment ID: I20210524000573 |
| Provider Name | Shane M Milu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740607407 PECOS PAC ID: 1759671068 Enrollment ID: I20210526000653 |
| Provider Name | Janelise Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275602633 PECOS PAC ID: 9830150259 Enrollment ID: I20210623003989 |
| Provider Name | Filip Turcer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922366657 PECOS PAC ID: 9931345451 Enrollment ID: I20210712003957 |
| Provider Name | Shunsuke Aoi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447593181 PECOS PAC ID: 2163760018 Enrollment ID: I20210820002592 |
| Provider Name | Daniel D Holst |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174974828 PECOS PAC ID: 8729485107 Enrollment ID: I20210928001565 |
| Provider Name | Paul F Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841279973 PECOS PAC ID: 1456395078 Enrollment ID: I20210930001890 |
| Provider Name | Christopher E Stewart |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124360979 PECOS PAC ID: 7719212547 Enrollment ID: I20211108000723 |
| Provider Name | Vineeth Kumar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437564473 PECOS PAC ID: 3678811940 Enrollment ID: I20211203002323 |
| Provider Name | Kimberly K Blain |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174064430 PECOS PAC ID: 5092083089 Enrollment ID: I20211206002009 |
| Provider Name | Tsun Sheng N KU |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659584738 PECOS PAC ID: 3577759646 Enrollment ID: I20211207000118 |
| Provider Name | Vance L Fredrickson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073957312 PECOS PAC ID: 1759674559 Enrollment ID: I20211220002186 |
| Provider Name | Agustin G Velazquez Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942614599 PECOS PAC ID: 4880942549 Enrollment ID: I20220405001489 |
| Provider Name | Jarett Thelen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700204195 PECOS PAC ID: 6901150911 Enrollment ID: I20220818002440 |
| Provider Name | Trinh Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568816858 PECOS PAC ID: 1557654605 Enrollment ID: I20220907000393 |
| Provider Name | Joseph Muhlestein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760826978 PECOS PAC ID: 3870715659 Enrollment ID: I20220927003008 |
| Provider Name | Sawley Wilde |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447614896 PECOS PAC ID: 7911290697 Enrollment ID: I20221012000224 |
| Provider Name | Emma Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770199325 PECOS PAC ID: 2961822457 Enrollment ID: I20221014002087 |
| Provider Name | Abigail C Holzwarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104544576 PECOS PAC ID: 9931576436 Enrollment ID: I20221111001201 |
| Provider Name | Abigail C Holzwarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104544576 PECOS PAC ID: 9931576436 Enrollment ID: I20230112002614 |
| Provider Name | Julianna Weiel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215324488 PECOS PAC ID: 8325418908 Enrollment ID: I20230831004351 |
| Provider Name | Trudie E Muir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073558110 PECOS PAC ID: 1052367729 Enrollment ID: I20230831004428 |
| Provider Name | Jonathan K Jakubowski |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205322286 PECOS PAC ID: 5395106371 Enrollment ID: I20230905001667 |
| Provider Name | Fernando Caceres |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225281033 PECOS PAC ID: 5496971491 Enrollment ID: I20230913001198 |
| Provider Name | Maria Herrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285994921 PECOS PAC ID: 6002164134 Enrollment ID: I20230918001376 |
| Provider Name | Troy B Graybeal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609803162 PECOS PAC ID: 2961767736 Enrollment ID: I20230919000620 |
| Provider Name | Conrad B. Addison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194228916 PECOS PAC ID: 2365797743 Enrollment ID: I20230921001526 |
| Provider Name | Catherine Cunagin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740316116 PECOS PAC ID: 7517025448 Enrollment ID: I20231026002041 |
| Provider Name | Jill Mayhew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083494579 PECOS PAC ID: 8325495054 Enrollment ID: I20231116003224 |
| Provider Name | Megan E Wight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215643630 PECOS PAC ID: 5395190631 Enrollment ID: I20231120001352 |
| Provider Name | Johnathan William Righetti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598260267 PECOS PAC ID: 8224384128 Enrollment ID: I20231211001881 |
| Provider Name | Colleen Wood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528114139 PECOS PAC ID: 5799848321 Enrollment ID: I20240105002973 |
| Provider Name | Elizabeth L Wood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609238377 PECOS PAC ID: 9335435981 Enrollment ID: I20240105003654 |
| Provider Name | Maria Buniel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215253232 PECOS PAC ID: 2668627498 Enrollment ID: I20240109002919 |
| Provider Name | Randol Hooper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205213493 PECOS PAC ID: 2365758927 Enrollment ID: I20240321000627 |
| Provider Name | George M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154347854 PECOS PAC ID: 6709781107 Enrollment ID: I20240417003106 |
| Provider Name | Galen Mills |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528565561 PECOS PAC ID: 1759740194 Enrollment ID: I20240617001724 |
| Provider Name | John Pender |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730174152 PECOS PAC ID: 4688653645 Enrollment ID: I20240725001482 |
| Provider Name | Laura Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902541998 PECOS PAC ID: 6709266836 Enrollment ID: I20240731002717 |
| Provider Name | Marco Thierry |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518528207 PECOS PAC ID: 8527406396 Enrollment ID: I20240807002351 |
| Provider Name | Olivia Rose Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427638733 PECOS PAC ID: 2668878547 Enrollment ID: I20240924001607 |
| Provider Name | Lauren Kleess |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346689544 PECOS PAC ID: 8820397839 Enrollment ID: I20241106003057 |
| Provider Name | Claudia Lama Von Buchwald |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447636451 PECOS PAC ID: 6800141490 Enrollment ID: I20241107003314 |
| Provider Name | Gabriel Blomquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659772176 PECOS PAC ID: 7012230105 Enrollment ID: I20241108000665 |
| Provider Name | Amy Goffena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679246425 PECOS PAC ID: 4587069588 Enrollment ID: I20241115000638 |
| Provider Name | Kimberly Lynn Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922032861 PECOS PAC ID: 0345243531 Enrollment ID: I20241213002340 |
| Provider Name | Nathan Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720508963 PECOS PAC ID: 1254759871 Enrollment ID: I20250205000400 |
| Provider Name | Guiset Carvajal Bedoya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194187799 PECOS PAC ID: 8628357126 Enrollment ID: I20250205003260 |
| Provider Name | Michael Ascuitto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831658087 PECOS PAC ID: 1759618226 Enrollment ID: I20250206001631 |
| Provider Name | Eric John Hodgson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689891673 PECOS PAC ID: 0547353666 Enrollment ID: I20250207003008 |
| Provider Name | Margaret Siska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013195122 PECOS PAC ID: 1153557798 Enrollment ID: I20250210002570 |
| Provider Name | Giovanni Sisti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568812659 PECOS PAC ID: 0042609737 Enrollment ID: I20250211000178 |
| Provider Name | Jennifer Mcanally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922650290 PECOS PAC ID: 3779812698 Enrollment ID: I20250213002421 |
| Provider Name | Bradford Whitcomb |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518949270 PECOS PAC ID: 2466699616 Enrollment ID: I20250214000040 |
| Provider Name | Kaitlyn Frenk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164997623 PECOS PAC ID: 7517203094 Enrollment ID: I20250219002232 |
| Provider Name | Dandi Huang |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1407382427 PECOS PAC ID: 0840561692 Enrollment ID: I20250224000158 |
| Provider Name | Delaina Kveseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770304768 PECOS PAC ID: 6204360209 Enrollment ID: I20250319001356 |
| Provider Name | Shenthol Sasankan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477960516 PECOS PAC ID: 2466853940 Enrollment ID: I20250502001460 |
| Provider Name | Marshall Diven |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649809351 PECOS PAC ID: 0749602076 Enrollment ID: I20251113000298 |
| Provider Name | Michael T Kidd |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093940736 PECOS PAC ID: 0446407746 Enrollment ID: I20251119001348 |
| Provider Name | Jean a Morello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376190603 PECOS PAC ID: 8123433240 Enrollment ID: I20251230002421 |
| Provider Name | Alecia M Thuesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659941474 PECOS PAC ID: 6204233984 Enrollment ID: I20251231002784 |
| Provider Name | Ahmed N Mohammad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962999714 PECOS PAC ID: 1850640004 Enrollment ID: I20260102000765 |
| Provider Name | Arthur J Rabinowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780638148 PECOS PAC ID: 4688666266 Enrollment ID: I20260102001382 |
| Provider Name | Mark T De Boer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548331440 PECOS PAC ID: 1456482751 Enrollment ID: I20260108001687 |
| Provider Name | Kristen Zack |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376105692 PECOS PAC ID: 7012245475 Enrollment ID: I20260109001838 |
| Provider Name | Olamide J Oladipo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902125768 PECOS PAC ID: 2264670801 Enrollment ID: I20260316003200 |
| Provider Name | Prashant Vaishnava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942351465 PECOS PAC ID: 0749349041 Enrollment ID: I20260318002008 |
| Provider Name | Sheila D Sarmiento |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841207982 PECOS PAC ID: 8325041288 Enrollment ID: I20260407002833 |
| Provider Name | George Lanske |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053353755 PECOS PAC ID: 6204884547 Enrollment ID: I20260422002365 |
| Provider Name | Bradley M Genovese |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1437418886 PECOS PAC ID: 1850615626 Enrollment ID: I20260504008164 |
| Provider Name | Dana Damron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093826828 PECOS PAC ID: 8921015363 Enrollment ID: I20260511002498 |
| Provider Name | Luis a Pagan-carlo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245298991 PECOS PAC ID: 4385627751 Enrollment ID: I20260528001365 |
Cody Radiation Oncology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 9th St, Cody, WY 82414 Phone: 877-587-2955 |
Cody Regional Health Walk in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave, Suite 120, Cody, WY 82414 Phone: 307-578-2907 Fax: 307-587-1256 |
Cody Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2107 Sheridan Avenue, Cody, WY 82414 Phone: 307-586-5303 |
Frontier Neurosciences, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 Platinum Dr, Cody, WY 82414 Phone: 307-578-1985 Fax: 307-578-1938 |
Intermountain Medical Group Denver, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave Ste 130, Cody, WY 82414 Phone: 801-442-5502 |
Intermountain Health Cody Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave Ste 310, Cody, WY 82414 Phone: 307-578-1800 Fax: 307-578-1814 |