| Northview Medical | |
|
7356 Stockman St Cheyenne WY 82009-6006 | |
| (307) 287-8426 | |
| Not Available |
| Full Name | Northview Medical |
|---|---|
| Speciality | General Practice |
| Location | 7356 Stockman St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Savanna Lea Lorenz (OWNER) |
| Authorized Official Contact | 3076323399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northview Medical 7356 Stockman St Cheyenne WY 82009-6006 Ph: (307) 632-3399 | Northview Medical 7356 Stockman St Cheyenne WY 82009-6006 Ph: (307) 287-8426 |
| NPI Number | 1245798511 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 11/14/2022 |
| Medicare PECOS PAC ID | 5395087720 |
|---|---|
| Medicare Enrollment ID | O20190503001199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245798511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Maria Mullikin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417226994 PECOS PAC ID: 7012176852 Enrollment ID: I20120314000144 |
| Provider Name | Kyle S Lorenz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952698987 PECOS PAC ID: 0547419160 Enrollment ID: I20130328000549 |
| Provider Name | Savanna Lea Lorenz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215286174 PECOS PAC ID: 2264680982 Enrollment ID: I20131113000492 |
| Provider Name | Jennifer A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831660430 PECOS PAC ID: 8426391848 Enrollment ID: I20190528000582 |
| Provider Name | Samantha Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801457809 PECOS PAC ID: 7517296049 Enrollment ID: I20210129000508 |
| Provider Name | Tanner Lee Ruppe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144939497 PECOS PAC ID: 4284005083 Enrollment ID: I20230113000388 |
| Provider Name | Amanda Leigh Tanner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346905874 PECOS PAC ID: 1456723477 Enrollment ID: I20230309002313 |
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