| Campbell County Medical Group - Internal Medicine Clinic | |
|
501 S Burma Ave 3s-intmed Gillette WY 82716-3426 | |
| (307) 688-3636 | |
| (307) 688-3640 |
| Full Name | Campbell County Medical Group - Internal Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 S Burma Ave, Gillette, Wyoming |
| Authorized Official Name and Position | Gerard Klein (COO) |
| Authorized Official Contact | 3076881551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell County Medical Group - Internal Medicine Clinic Po Box 392967 Pittsburgh PA 15251-9967 Ph: (307) 688-1482 | Campbell County Medical Group - Internal Medicine Clinic 501 S Burma Ave 3s-intmed Gillette WY 82716-3426 Ph: (307) 688-3636 |
| NPI Number | 1710098868 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/01/2023 |
| Medicare PECOS PAC ID | 2860392529 |
|---|---|
| Medicare Enrollment ID | O20040206000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710098868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Laine C Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578552444 PECOS PAC ID: 5890691257 Enrollment ID: I20040428000812 |
| Provider Name | Jonathan M Hayden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841242807 PECOS PAC ID: 6204897457 Enrollment ID: I20041021000662 |
| Provider Name | Thomas O Mayer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104813930 PECOS PAC ID: 9638120546 Enrollment ID: I20050209000317 |
| Provider Name | Kirtikumar L Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598755530 PECOS PAC ID: 3274585450 Enrollment ID: I20050216000159 |
| Provider Name | John Stamato |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225080831 PECOS PAC ID: 7315988094 Enrollment ID: I20050512001091 |
| Provider Name | Judith Boyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124062310 PECOS PAC ID: 8224949102 Enrollment ID: I20070309000058 |
| Provider Name | Robert Neuwirth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891726626 PECOS PAC ID: 1254306020 Enrollment ID: I20070518000094 |
| Provider Name | Suzanne K Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922023613 PECOS PAC ID: 2668436221 Enrollment ID: I20080918000019 |
| Provider Name | Mark Walter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205910643 PECOS PAC ID: 6103858477 Enrollment ID: I20081031000047 |
| Provider Name | Scott L Diering |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083633465 PECOS PAC ID: 7719936988 Enrollment ID: I20081111000015 |
| Provider Name | James A Ulibarri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578586269 PECOS PAC ID: 4789680539 Enrollment ID: I20090511000435 |
| Provider Name | Kathryn J Schmidt Miller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891943593 PECOS PAC ID: 7719023977 Enrollment ID: I20091001000749 |
| Provider Name | Mark E Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881608800 PECOS PAC ID: 4789589920 Enrollment ID: I20100702000267 |
| Provider Name | Brian E Austin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114016193 PECOS PAC ID: 2668667965 Enrollment ID: I20101112000059 |
| Provider Name | Mark E Kellam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356346449 PECOS PAC ID: 7719951177 Enrollment ID: I20110301001079 |
| Provider Name | Javier Caldera-nieves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053358606 PECOS PAC ID: 6103885181 Enrollment ID: I20110302000386 |
| Provider Name | Eugene K Gicheru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134144132 PECOS PAC ID: 9335185792 Enrollment ID: I20110303000255 |
| Provider Name | Sukhpreit Kaur Sohi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477749190 PECOS PAC ID: 0244385367 Enrollment ID: I20110502000783 |
| Provider Name | Attila Barabas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285679670 PECOS PAC ID: 6507869658 Enrollment ID: I20110510000906 |
| Provider Name | Stanley L Lawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235181157 PECOS PAC ID: 8820275498 Enrollment ID: I20110607000870 |
| Provider Name | Michael R Stolpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164474375 PECOS PAC ID: 8022281419 Enrollment ID: I20111031000470 |
| Provider Name | Stacey L Hastreiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225324668 PECOS PAC ID: 1850564246 Enrollment ID: I20111031000571 |
| Provider Name | Daniel Scott Allen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619068897 PECOS PAC ID: 7911907027 Enrollment ID: I20111117000026 |
| Provider Name | Theodore G Lawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265483424 PECOS PAC ID: 3870769169 Enrollment ID: I20120109000647 |
| Provider Name | Eric P Johnsrud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942399910 PECOS PAC ID: 3375439318 Enrollment ID: I20120510000312 |
| Provider Name | Timothy Dean Bohlender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427151778 PECOS PAC ID: 7719930940 Enrollment ID: I20120706000558 |
| Provider Name | Jessica F J Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396981478 PECOS PAC ID: 8820260557 Enrollment ID: I20120815000053 |
| Provider Name | Amanda R Zuck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285972737 PECOS PAC ID: 5092955807 Enrollment ID: I20130627000724 |
| Provider Name | Mary J Maymana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457558868 PECOS PAC ID: 3577759885 Enrollment ID: I20131009001009 |
| Provider Name | Collin O Mccloy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093070740 PECOS PAC ID: 4880821107 Enrollment ID: I20131212000851 |
| Provider Name | James D Waters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669761912 PECOS PAC ID: 7113144783 Enrollment ID: I20140806000944 |
| Provider Name | Chad A Bagley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346483666 PECOS PAC ID: 7214086925 Enrollment ID: I20140813000896 |
| Provider Name | Sairav Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386614113 PECOS PAC ID: 9537137898 Enrollment ID: I20140904000897 |
| Provider Name | Stanford Israelsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093961179 PECOS PAC ID: 1153560610 Enrollment ID: I20140917001937 |
| Provider Name | Nicholas J Stamato |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801848593 PECOS PAC ID: 8628046760 Enrollment ID: I20141029001981 |
| Provider Name | Brahmananda K Koduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659608214 PECOS PAC ID: 0547584427 Enrollment ID: I20150124000015 |
| Provider Name | Aaron M Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952703241 PECOS PAC ID: 1355666520 Enrollment ID: I20150210001100 |
| Provider Name | Ronit L Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568679579 PECOS PAC ID: 4385779776 Enrollment ID: I20150218000295 |
| Provider Name | Judd Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457431991 PECOS PAC ID: 8820142425 Enrollment ID: I20150319000913 |
| Provider Name | Nathan D Tracey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770873531 PECOS PAC ID: 3476871476 Enrollment ID: I20150422001539 |
| Provider Name | Robert Grunfeld |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225264344 PECOS PAC ID: 9830403617 Enrollment ID: I20150806013001 |
| Provider Name | Grace Hsuanhwa Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043324247 PECOS PAC ID: 7911897228 Enrollment ID: I20150923002697 |
| Provider Name | Thomas B Repas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134180516 PECOS PAC ID: 8426039249 Enrollment ID: I20160201002742 |
| Provider Name | Whitney M Fevold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558726711 PECOS PAC ID: 2163728791 Enrollment ID: I20160308002717 |
| Provider Name | Eric S Sawyers |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780686188 PECOS PAC ID: 3072750967 Enrollment ID: I20160425002433 |
| Provider Name | Tyler L Dickey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295098416 PECOS PAC ID: 4486944469 Enrollment ID: I20160602002682 |
| Provider Name | John A Gall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679716153 PECOS PAC ID: 2769671965 Enrollment ID: I20160607000958 |
| Provider Name | Chet G Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659712313 PECOS PAC ID: 8729222187 Enrollment ID: I20160608000957 |
| Provider Name | Michael Schlegel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740252220 PECOS PAC ID: 3072669621 Enrollment ID: I20160608002538 |
| Provider Name | Joan E Caragher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801940069 PECOS PAC ID: 6406932110 Enrollment ID: I20160630000488 |
| Provider Name | Sundeep Ram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083875132 PECOS PAC ID: 1456491026 Enrollment ID: I20160708001669 |
| Provider Name | Rebecca Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427404060 PECOS PAC ID: 6002102712 Enrollment ID: I20160907000375 |
| Provider Name | Erica D Rinker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679860597 PECOS PAC ID: 5597914846 Enrollment ID: I20160915002565 |
| Provider Name | Natalie Christina Owens Sloan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497970479 PECOS PAC ID: 6002901360 Enrollment ID: I20161012001291 |
| Provider Name | Steven L Clements |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639412133 PECOS PAC ID: 9436384997 Enrollment ID: I20161019002500 |
| Provider Name | Jon Kerr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609036094 PECOS PAC ID: 8325219462 Enrollment ID: I20161129000615 |
| Provider Name | Brenda J Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639375678 PECOS PAC ID: 8224121637 Enrollment ID: I20170320001418 |
| Provider Name | Pauline M Lerma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447334172 PECOS PAC ID: 1557325248 Enrollment ID: I20170329000800 |
| Provider Name | Amber Dawn Knuths |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548794340 PECOS PAC ID: 2264700590 Enrollment ID: I20170609001367 |
| Provider Name | Heidi M Gillette |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225564644 PECOS PAC ID: 5991073033 Enrollment ID: I20170614002139 |
| Provider Name | Stephen Houmes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497168637 PECOS PAC ID: 9234402538 Enrollment ID: I20170908000532 |
| Provider Name | Katie Houmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932513926 PECOS PAC ID: 0749509586 Enrollment ID: I20170911002693 |
| Provider Name | Whitney R Shawver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609398015 PECOS PAC ID: 4880969971 Enrollment ID: I20170928002487 |
| Provider Name | Micayla Jean Hinds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548510985 PECOS PAC ID: 7214180868 Enrollment ID: I20171018001438 |
| Provider Name | Michael S Nolledo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154367563 PECOS PAC ID: 7214969880 Enrollment ID: I20171024000868 |
| Provider Name | Anne M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235656489 PECOS PAC ID: 4486910973 Enrollment ID: I20171116001759 |
| Provider Name | Amy E Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345404 PECOS PAC ID: 1153681978 Enrollment ID: I20180215001813 |
| Provider Name | Russell T Lauver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710121710 PECOS PAC ID: 9739342866 Enrollment ID: I20180219001277 |
| Provider Name | Scott Wagner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861703613 PECOS PAC ID: 6103117031 Enrollment ID: I20180427000822 |
| Provider Name | Daniel G Kang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659532364 PECOS PAC ID: 3577740299 Enrollment ID: I20180629000279 |
| Provider Name | Julie Tippens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679016034 PECOS PAC ID: 4183907108 Enrollment ID: I20180716002305 |
| Provider Name | Vivek Yarlagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669836854 PECOS PAC ID: 2860740727 Enrollment ID: I20180808003961 |
| Provider Name | Jessica A Ratledge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912224452 PECOS PAC ID: 5799902037 Enrollment ID: I20180823002213 |
| Provider Name | Joel Dennis Tuckett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487096434 PECOS PAC ID: 4486898004 Enrollment ID: I20180911000326 |
| Provider Name | Amanda Opfer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285021469 PECOS PAC ID: 3678839016 Enrollment ID: I20180911000861 |
| Provider Name | James Bergene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508285909 PECOS PAC ID: 5294085106 Enrollment ID: I20180913001364 |
| Provider Name | Deanna L Lassegard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639558653 PECOS PAC ID: 4688963218 Enrollment ID: I20180914000767 |
| Provider Name | Jared J Weishaar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295242907 PECOS PAC ID: 4789935073 Enrollment ID: I20180926000869 |
| Provider Name | Ryan Thomas Gocke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992916449 PECOS PAC ID: 2163674532 Enrollment ID: I20181112001660 |
| Provider Name | Nita R Engineer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447219852 PECOS PAC ID: 9335185677 Enrollment ID: I20181126002051 |
| Provider Name | Brent R Thurness |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265424873 PECOS PAC ID: 7315975828 Enrollment ID: I20190104001058 |
| Provider Name | Keith Lynn Jackson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578728614 PECOS PAC ID: 9638352099 Enrollment ID: I20190128001285 |
| Provider Name | Anton Y. Jorgensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841481975 PECOS PAC ID: 4284910282 Enrollment ID: I20190128002243 |
| Provider Name | Candi Hallermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902370778 PECOS PAC ID: 4789910159 Enrollment ID: I20190723001265 |
| Provider Name | Cassidy John Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609139708 PECOS PAC ID: 3577787860 Enrollment ID: I20190910000357 |
| Provider Name | Daniel Bryan Rust |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841844172 PECOS PAC ID: 2163752304 Enrollment ID: I20191001001755 |
| Provider Name | Richard Vo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932543881 PECOS PAC ID: 1153559067 Enrollment ID: I20191028001917 |
| Provider Name | David J Mohlman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477575686 PECOS PAC ID: 8527006766 Enrollment ID: I20191209002851 |
| Provider Name | David Ross Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003358722 PECOS PAC ID: 5597041848 Enrollment ID: I20191213001305 |
| Provider Name | Kyle Sabey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669851051 PECOS PAC ID: 9931415288 Enrollment ID: I20200224001961 |
| Provider Name | Gaelen R Horne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003159146 PECOS PAC ID: 0042647323 Enrollment ID: I20200226001516 |
| Provider Name | James Joseph Marr, Iii |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801874151 PECOS PAC ID: 7315076668 Enrollment ID: I20200306001997 |
| Provider Name | Yewande Adeshina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346334596 PECOS PAC ID: 4880696582 Enrollment ID: I20200309002531 |
| 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 | Nicole Washington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942370267 PECOS PAC ID: 5698719920 Enrollment ID: I20200324002717 |
| Provider Name | Byron J Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568716280 PECOS PAC ID: 4688807092 Enrollment ID: I20200406000629 |
| Provider Name | Mary Noralee Wardrop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619261245 PECOS PAC ID: 3779711510 Enrollment ID: I20200512002949 |
| Provider Name | Teri Alberty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588851497 PECOS PAC ID: 6800979139 Enrollment ID: I20200626001766 |
| Provider Name | Christopher Neil Shores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760988307 PECOS PAC ID: 9335498997 Enrollment ID: I20200729003523 |
| Provider Name | Roberta Pritchard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699903518 PECOS PAC ID: 9931472370 Enrollment ID: I20200811002595 |
| Provider Name | Meng Seth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689612657 PECOS PAC ID: 7719924711 Enrollment ID: I20200820000759 |
| Provider Name | Amanda L Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265703151 PECOS PAC ID: 0345400388 Enrollment ID: I20200918002484 |
| Provider Name | Nikole Marie Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417569732 PECOS PAC ID: 0941629612 Enrollment ID: I20200929003179 |
| Provider Name | Susan Wigetman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487979977 PECOS PAC ID: 1052441623 Enrollment ID: I20201009000790 |
| Provider Name | Lila Jo Blakeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386891562 PECOS PAC ID: 4587084652 Enrollment ID: I20201012002928 |
| Provider Name | Jayme L Schaaf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124504634 PECOS PAC ID: 5092147967 Enrollment ID: I20201123002065 |
| Provider Name | Ricky Lee Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730176645 PECOS PAC ID: 0547403578 Enrollment ID: I20201130002488 |
| Provider Name | Janet J Sims |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003147604 PECOS PAC ID: 9335550136 Enrollment ID: I20201201000018 |
| Provider Name | Breanna A Lien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154704229 PECOS PAC ID: 3375849219 Enrollment ID: I20201216002406 |
| Provider Name | Jennie Hooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417395021 PECOS PAC ID: 6800017609 Enrollment ID: I20201221001467 |
| Provider Name | Anne Quasnitschka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508254806 PECOS PAC ID: 3577880277 Enrollment ID: I20210104002272 |
| Provider Name | Scott M Sorenson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194950428 PECOS PAC ID: 0941515605 Enrollment ID: I20210113002924 |
| Provider Name | Kathleen M Feeley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295735777 PECOS PAC ID: 2961445762 Enrollment ID: I20210126003572 |
| Provider Name | Kyson Staheli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891383626 PECOS PAC ID: 1557775632 Enrollment ID: I20210201002181 |
| Provider Name | Lyndsay M. Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730782657 PECOS PAC ID: 9335554336 Enrollment ID: I20210225002145 |
| Provider Name | Adam Crilly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245299460 PECOS PAC ID: 9537135918 Enrollment ID: I20210324000733 |
| Provider Name | Michael J Howard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881057495 PECOS PAC ID: 8022364322 Enrollment ID: I20210324002840 |
| Provider Name | Jessica P Dalio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851603302 PECOS PAC ID: 4385888098 Enrollment ID: I20210413000638 |
| Provider Name | Justino Noel Dalio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689988909 PECOS PAC ID: 9830339696 Enrollment ID: I20210504002647 |
| Provider Name | Kristopher Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124265590 PECOS PAC ID: 6901962901 Enrollment ID: I20210804002948 |
| Provider Name | Gaddiel Rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598746331 PECOS PAC ID: 8729095534 Enrollment ID: I20210909001140 |
| Provider Name | Tricia M Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962991943 PECOS PAC ID: 3173870136 Enrollment ID: I20210920003165 |
| Provider Name | Andrew Taecker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952830481 PECOS PAC ID: 5991075830 Enrollment ID: I20210921000501 |
| Provider Name | Hetal Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841283199 PECOS PAC ID: 7012958580 Enrollment ID: I20210921003747 |
| Provider Name | Brandon Madsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265037741 PECOS PAC ID: 0941607378 Enrollment ID: I20210927003157 |
| Provider Name | Kenneth Heffner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407379985 PECOS PAC ID: 9739500836 Enrollment ID: I20211006001764 |
| Provider Name | Michelle Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144547258 PECOS PAC ID: 0345481602 Enrollment ID: I20211008002653 |
| Provider Name | Gerald Alan Wilde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902127376 PECOS PAC ID: 3375783509 Enrollment ID: I20211021001423 |
| Provider Name | Paul Mausling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760498513 PECOS PAC ID: 9537183892 Enrollment ID: I20211021001656 |
| Provider Name | Echo Ora Rose Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881296515 PECOS PAC ID: 2567850662 Enrollment ID: I20211021002698 |
| Provider Name | Mark Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952539470 PECOS PAC ID: 0749613024 Enrollment ID: I20211027002687 |
| Provider Name | Ashley Lynn Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659921609 PECOS PAC ID: 8224426887 Enrollment ID: I20211101001712 |
| Provider Name | Jonathan Scott Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902940380 PECOS PAC ID: 0345548947 Enrollment ID: I20211102001774 |
| Provider Name | Brent Owen Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811573173 PECOS PAC ID: 5991194227 Enrollment ID: I20211108001950 |
| Provider Name | Charlotte Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174521702 PECOS PAC ID: 0042450793 Enrollment ID: I20211220002759 |
| Provider Name | Joshua Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932723327 PECOS PAC ID: 5496179681 Enrollment ID: I20220105002614 |
| Provider Name | Nicole Ann Larsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336429190 PECOS PAC ID: 1850542432 Enrollment ID: I20220112001767 |
| Provider Name | Caesar Giovanni Loyo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932877735 PECOS PAC ID: 4385037456 Enrollment ID: I20220214000650 |
| Provider Name | Jody Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306487566 PECOS PAC ID: 5597192450 Enrollment ID: I20220419000507 |
| Provider Name | Benjamin Lyman Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598961757 PECOS PAC ID: 6709273725 Enrollment ID: I20220421001795 |
| Provider Name | William Yee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043259690 PECOS PAC ID: 2163589292 Enrollment ID: I20220421001937 |
| Provider Name | Lonna Potter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538312590 PECOS PAC ID: 7810058195 Enrollment ID: I20220517001354 |
| Provider Name | Sarah Frances Mcclure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700317047 PECOS PAC ID: 7214336817 Enrollment ID: I20220527000929 |
| Provider Name | Nancy A Bergquist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336290683 PECOS PAC ID: 7214172436 Enrollment ID: I20220627002105 |
| Provider Name | Ajibola Babatunde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629573936 PECOS PAC ID: 0143570770 Enrollment ID: I20220711000540 |
| Provider Name | Kurtsy Oswald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942760335 PECOS PAC ID: 0446585541 Enrollment ID: I20220808000609 |
| Provider Name | Kayla Whitson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700349040 PECOS PAC ID: 8628307733 Enrollment ID: I20220809004038 |
| Provider Name | John Bergin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073040382 PECOS PAC ID: 2466790118 Enrollment ID: I20220823003888 |
| Provider Name | Anna Francesca Schubert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134574080 PECOS PAC ID: 0143513044 Enrollment ID: I20220901000520 |
| Provider Name | Brandon T Mcguire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427634906 PECOS PAC ID: 8224437942 Enrollment ID: I20220901003426 |
| Provider Name | Kara Mcmachen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376523126 PECOS PAC ID: 5193781326 Enrollment ID: I20220901003556 |
| Provider Name | Rickay Marie Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023486016 PECOS PAC ID: 5496139867 Enrollment ID: I20220902001215 |
| Provider Name | James Griggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194189282 PECOS PAC ID: 9234420910 Enrollment ID: I20220902001607 |
| Provider Name | William Christie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306371869 PECOS PAC ID: 1850657198 Enrollment ID: I20220906002769 |
| Provider Name | James Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073533956 PECOS PAC ID: 1658475843 Enrollment ID: I20220914003235 |
| Provider Name | Edward Bergin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982100988 PECOS PAC ID: 4587915061 Enrollment ID: I20220917000504 |
| Provider Name | Audrey Newell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891765327 PECOS PAC ID: 5698729648 Enrollment ID: I20220919002022 |
| Provider Name | Gaurav Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023571379 PECOS PAC ID: 4981089240 Enrollment ID: I20220922001986 |
| Provider Name | Kurt Robert Bolin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952397960 PECOS PAC ID: 6204204845 Enrollment ID: I20221201002047 |
| Provider Name | Cody K Martini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659818706 PECOS PAC ID: 0143505594 Enrollment ID: I20221222002467 |
| Provider Name | Amir Ali Emami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295049260 PECOS PAC ID: 2264602515 Enrollment ID: I20230105000711 |
| Provider Name | Jason Signorelli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972035087 PECOS PAC ID: 1254684681 Enrollment ID: I20230124000713 |
| Provider Name | Thomas Chweh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073702361 PECOS PAC ID: 1557442852 Enrollment ID: I20230206002312 |
| Provider Name | Stephanie Rosenthal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568795904 PECOS PAC ID: 2668510686 Enrollment ID: I20230207000493 |
| Provider Name | Shana Eaglefeathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235679796 PECOS PAC ID: 7113344821 Enrollment ID: I20230217001876 |
| Provider Name | Johnathon A Berry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801091806 PECOS PAC ID: 6406039130 Enrollment ID: I20230222000694 |
| Provider Name | Brett M Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619187523 PECOS PAC ID: 2668644253 Enrollment ID: I20230222000925 |
| Provider Name | Ryan Black |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619024544 PECOS PAC ID: 2567472939 Enrollment ID: I20230222001084 |
| Provider Name | Megan Sampson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770960288 PECOS PAC ID: 6709192123 Enrollment ID: I20230317000267 |
| Provider Name | Nicholas James Koch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912326836 PECOS PAC ID: 0345510491 Enrollment ID: I20230321001863 |
| Provider Name | Scott Jenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245684745 PECOS PAC ID: 7810245263 Enrollment ID: I20230328000383 |
| Provider Name | Felix Furman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417968561 PECOS PAC ID: 8628096005 Enrollment ID: I20230330000616 |
| Provider Name | Jeffrey Salisbury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891732277 PECOS PAC ID: 4688765597 Enrollment ID: I20230330001591 |
| Provider Name | Amy Anton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235392861 PECOS PAC ID: 2961683883 Enrollment ID: I20230404002603 |
| Provider Name | Sarah Stark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841694940 PECOS PAC ID: 5698090785 Enrollment ID: I20230411001002 |
| Provider Name | Scott D Burry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134196298 PECOS PAC ID: 7517861396 Enrollment ID: I20230412002134 |
| Provider Name | Gilbert A Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508235359 PECOS PAC ID: 9931564259 Enrollment ID: I20230420001065 |
| Provider Name | Carey R Martens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598880833 PECOS PAC ID: 2062503782 Enrollment ID: I20230424001218 |
| Provider Name | Lili Kelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548488570 PECOS PAC ID: 1052419108 Enrollment ID: I20230428001253 |
| Provider Name | Tarah B Browne |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1831490820 PECOS PAC ID: 8022269695 Enrollment ID: I20230512000983 |
| Provider Name | Patrick A Craddock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477518710 PECOS PAC ID: 1658308218 Enrollment ID: I20230526001293 |
| Provider Name | Charles Hollis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780903021 PECOS PAC ID: 9931375136 Enrollment ID: I20230609001298 |
| Provider Name | Forest Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215248950 PECOS PAC ID: 0547484438 Enrollment ID: I20230609001908 |
| Provider Name | Leslie J Mclean |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396753943 PECOS PAC ID: 8628157153 Enrollment ID: I20230615001255 |
| Provider Name | Jeanie M Lembke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922054279 PECOS PAC ID: 8325189715 Enrollment ID: I20230616003133 |
| Provider Name | Kyle Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124550033 PECOS PAC ID: 8022353382 Enrollment ID: I20230628000692 |
| Provider Name | Jonathan Christopher Lincoln |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912387622 PECOS PAC ID: 6709192560 Enrollment ID: I20230628001469 |
| Provider Name | Braxton Fritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215340781 PECOS PAC ID: 2567775216 Enrollment ID: I20230719002155 |
| Provider Name | Adam Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295048759 PECOS PAC ID: 0547431058 Enrollment ID: I20230720001711 |
| Provider Name | William Pell Egbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134684509 PECOS PAC ID: 9537529458 Enrollment ID: I20230724001618 |
| Provider Name | Brittney Goeken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679194054 PECOS PAC ID: 5395163422 Enrollment ID: I20230810002180 |
| Provider Name | Makenzie V Bartsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093274011 PECOS PAC ID: 7214317171 Enrollment ID: I20230817003781 |
| Provider Name | John Andrew Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528208097 PECOS PAC ID: 0143452383 Enrollment ID: I20230925000314 |
| Provider Name | David Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942668678 PECOS PAC ID: 0244539427 Enrollment ID: I20230929000044 |
| Provider Name | Tracy Maceachern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083662449 PECOS PAC ID: 6002942455 Enrollment ID: I20230929001239 |
| Provider Name | Lawrence Walters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760405856 PECOS PAC ID: 7113826645 Enrollment ID: I20231003003654 |
| Provider Name | Hala Alsalhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790246528 PECOS PAC ID: 1557744745 Enrollment ID: I20231116002403 |
| Provider Name | Darcy Rumberger Denegre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659683548 PECOS PAC ID: 8123269990 Enrollment ID: I20231116002658 |
| Provider Name | Matthew Garman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699065227 PECOS PAC ID: 4688801921 Enrollment ID: I20231120003141 |
| Provider Name | Ryan Stephanie Boothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710629704 PECOS PAC ID: 1557711959 Enrollment ID: I20231227002936 |
| Provider Name | Leslie Mashak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457619439 PECOS PAC ID: 5799136388 Enrollment ID: I20240108005572 |
| Provider Name | Sarah Catherine Clonch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659775880 PECOS PAC ID: 5698127785 Enrollment ID: I20240112004062 |
| Provider Name | Cheryl Trembath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205373073 PECOS PAC ID: 3072956648 Enrollment ID: I20240210000712 |
| Provider Name | Shannon Kolupaeva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255968954 PECOS PAC ID: 7315368891 Enrollment ID: I20240228003858 |
| Provider Name | Cheryl Rae King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992061881 PECOS PAC ID: 3870938905 Enrollment ID: I20240228004305 |
| Provider Name | Kimberly Greenhill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578989737 PECOS PAC ID: 4880819382 Enrollment ID: I20240309000745 |
| Provider Name | John Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083637086 PECOS PAC ID: 8325043938 Enrollment ID: I20240312000719 |
Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 S Medical Arts Ct Ste D, Gillette, WY 82716 Phone: 307-686-0308 Fax: 307-686-7420 | |
Hand Therapy Of Wyoming Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1211 S Douglas Hwy, Suite 100, Gillette, WY 82716 Phone: 307-756-2013 | |
Family Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 W 8th Street, Suite 4, Gillette, WY 82716 Phone: 307-682-3333 Fax: 307-682-6723 | |
Wyoming Medical Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Town Center Dr Ste 120, Gillette, WY 82718 Phone: 307-682-9962 Fax: 307-257-2930 | |
Antelope Medical Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 S Medical Arts Ct, Gillette, WY 82716 Phone: 307-682-7661 Fax: 307-682-5074 | |
Campbell County Clinics Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3636 Fax: 307-688-7920 | |
R & R Chiropractic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 W 8th St, Gillette, WY 82716 Phone: 307-689-6277 |