| Memorial Hospital Of Carbon County | |
|
2012 W Elm Street Rawlins WY 82301 | |
| (307) 324-9098 | |
| (307) 324-6726 |
| Full Name | Memorial Hospital Of Carbon County |
|---|---|
| Speciality | Family Medicine |
| Location | 2012 W Elm Street, Rawlins, Wyoming |
| Authorized Official Name and Position | Michelle Keplinger (CFO) |
| Authorized Official Contact | 3073248347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital Of Carbon County Po Box 944 Rawlins WY 82301-0944 Ph: (307) 324-9098 | Memorial Hospital Of Carbon County 2012 W Elm Street Rawlins WY 82301 Ph: (307) 324-9098 |
| NPI Number | 1508900341 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/15/2017 |
| Medicare PECOS PAC ID | 9638067176 |
|---|---|
| Medicare Enrollment ID | O20040308000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508900341 | NPI | - | NPPES |
| DD2243 | Other | WY | RR MEDICARE |
| 120726100 | Medicaid | WY | |
| 05726001 | Other | WY | BCBS OF WYOMING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4625A (Wyoming) | Primary |
| Provider Name | Duane E Abels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700945789 PECOS PAC ID: 1153317680 Enrollment ID: I20040421001153 |
| Provider Name | Joel M Pull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265405666 PECOS PAC ID: 4789670233 Enrollment ID: I20040421001243 |
| Provider Name | Vincent Hinshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346286671 PECOS PAC ID: 7517928385 Enrollment ID: I20041025000728 |
| Provider Name | Ragnvaldr B Bjornsson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851379119 PECOS PAC ID: 7810895877 Enrollment ID: I20050330000894 |
| Provider Name | Donald Carter Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902845712 PECOS PAC ID: 1456394287 Enrollment ID: I20050602001043 |
| Provider Name | Roy G Bryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366501264 PECOS PAC ID: 6608895412 Enrollment ID: I20051121000962 |
| Provider Name | Justin A Lamb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417915430 PECOS PAC ID: 2668473315 Enrollment ID: I20071002000186 |
| Provider Name | Edward D Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386646669 PECOS PAC ID: 0042276990 Enrollment ID: I20080905000010 |
| Provider Name | Mary Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639263650 PECOS PAC ID: 7810922093 Enrollment ID: I20081201000347 |
| Provider Name | Gregory J Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467565754 PECOS PAC ID: 9436341161 Enrollment ID: I20101013000064 |
| Provider Name | Joseph C Skinner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356325666 PECOS PAC ID: 1052464872 Enrollment ID: I20111025000899 |
| Provider Name | Dirk E Bigler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457304776 PECOS PAC ID: 7618900374 Enrollment ID: I20111209000397 |
| Provider Name | James Friedrich Schmutz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508936923 PECOS PAC ID: 2668365370 Enrollment ID: I20120130000124 |
| Provider Name | Peter L Vance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619056199 PECOS PAC ID: 0446207690 Enrollment ID: I20120330000265 |
| Provider Name | James W Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073567384 PECOS PAC ID: 7113953837 Enrollment ID: I20120404000292 |
| Provider Name | Steven D Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770653321 PECOS PAC ID: 5092616490 Enrollment ID: I20120405000141 |
| Provider Name | Christopher Harker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992992010 PECOS PAC ID: 0941498968 Enrollment ID: I20120522001258 |
| Provider Name | James B Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699854257 PECOS PAC ID: 6406757822 Enrollment ID: I20120806000860 |
| Provider Name | Richard Whiting Bentley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770781932 PECOS PAC ID: 3476621251 Enrollment ID: I20130827000692 |
| Provider Name | Edwin Eugene Butler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831342799 PECOS PAC ID: 4385882299 Enrollment ID: I20131114002002 |
| Provider Name | Parry M Davison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316376189 PECOS PAC ID: 9830329374 Enrollment ID: I20140303001704 |
| Provider Name | David Behrmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609037340 PECOS PAC ID: 4486803467 Enrollment ID: I20140716002277 |
| Provider Name | Ahmad Alqaqa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962660423 PECOS PAC ID: 1951527415 Enrollment ID: I20140718002132 |
| Provider Name | Stephen Richard Preece |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740434737 PECOS PAC ID: 5395960009 Enrollment ID: I20140729002932 |
| Provider Name | Anne W Giuliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811938590 PECOS PAC ID: 2365489754 Enrollment ID: I20140925002237 |
| Provider Name | Myka Veigel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710151410 PECOS PAC ID: 3072755248 Enrollment ID: I20150204001031 |
| Provider Name | Matthew E Williamson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467428540 PECOS PAC ID: 5395785935 Enrollment ID: I20150716003264 |
| Provider Name | Steven Larsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508953555 PECOS PAC ID: 7517965064 Enrollment ID: I20150717001188 |
| Provider Name | Nicholas Pierson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336309756 PECOS PAC ID: 3173755824 Enrollment ID: I20150724011601 |
| Provider Name | Adam C Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780011031 PECOS PAC ID: 2860622529 Enrollment ID: I20151005002040 |
| Provider Name | Jared H Bailey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891929519 PECOS PAC ID: 1254528920 Enrollment ID: I20160125000897 |
| Provider Name | Lorin C Bachman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144296203 PECOS PAC ID: 2163451592 Enrollment ID: I20160127001695 |
| Provider Name | David M Cameron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386610442 PECOS PAC ID: 1658300082 Enrollment ID: I20160128000412 |
| Provider Name | Roderick Jack Willmore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346538253 PECOS PAC ID: 5597997379 Enrollment ID: I20170602000855 |
| Provider Name | Brett Scott Talbot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356630420 PECOS PAC ID: 9335434091 Enrollment ID: I20170606000883 |
| Provider Name | Brian Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629064225 PECOS PAC ID: 5698792042 Enrollment ID: I20170831003026 |
| Provider Name | Stephen R Parden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982618260 PECOS PAC ID: 2062490527 Enrollment ID: I20171018001228 |
| Provider Name | Amanda Bisby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538687652 PECOS PAC ID: 7719245943 Enrollment ID: I20171218001301 |
| Provider Name | Margaret Ruth Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639315518 PECOS PAC ID: 2365700291 Enrollment ID: I20171221002143 |
| Provider Name | Artur Narkiewicz Jodko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104188879 PECOS PAC ID: 3678846011 Enrollment ID: I20180619000473 |
| Provider Name | Scott J Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730447186 PECOS PAC ID: 9830340264 Enrollment ID: I20180719000174 |
| Provider Name | Michael Sean Enslow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295094530 PECOS PAC ID: 4880964485 Enrollment ID: I20180720000888 |
| Provider Name | John C Lumb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467403352 PECOS PAC ID: 1951408673 Enrollment ID: I20180815001954 |
| Provider Name | Charles Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194273540 PECOS PAC ID: 0143501692 Enrollment ID: I20190327000713 |
| Provider Name | Chad J Cooper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770876229 PECOS PAC ID: 5799087953 Enrollment ID: I20190812002693 |
| Provider Name | Daniel John Wandsneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992191290 PECOS PAC ID: 4587961735 Enrollment ID: I20191104000878 |
| Provider Name | Matthew Sprague Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710957386 PECOS PAC ID: 8426309493 Enrollment ID: I20191104001419 |
| 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 | Darin W Allred |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316074313 PECOS PAC ID: 7719913524 Enrollment ID: I20200115002255 |
| 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 | Gregory R Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20200423003056 |
| Provider Name | Dwayne A Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200430002266 |
| Provider Name | Daniel S Madsen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104998137 PECOS PAC ID: 8123273497 Enrollment ID: I20200512001148 |
| Provider Name | Cory J Spicer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932512811 PECOS PAC ID: 6002122603 Enrollment ID: I20200602000852 |
| Provider Name | Abdur Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700132750 PECOS PAC ID: 5092043489 Enrollment ID: I20200616001349 |
| Provider Name | Gary Mikesell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205884715 PECOS PAC ID: 7911933809 Enrollment ID: I20200727002581 |
| Provider Name | James C Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20201007000179 |
| Provider Name | Christopher Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275524779 PECOS PAC ID: 3779586557 Enrollment ID: I20201030002138 |
| Provider Name | Lincoln J Westfall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235390337 PECOS PAC ID: 4183894728 Enrollment ID: I20210105000357 |
| Provider Name | Jeffrey F Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210302001612 |
| Provider Name | Patricia Lea Shue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306238654 PECOS PAC ID: 4284020371 Enrollment ID: I20220329000977 |
| Provider Name | David Gonzalez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043208218 PECOS PAC ID: 0648276204 Enrollment ID: I20220420002425 |
| Provider Name | Dustin Tew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568821163 PECOS PAC ID: 7315225752 Enrollment ID: I20220513000905 |
| Provider Name | Adam Fieber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093243784 PECOS PAC ID: 6709150105 Enrollment ID: I20220517001356 |
| Provider Name | Christopher Malcom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447402425 PECOS PAC ID: 4183871056 Enrollment ID: I20220530000034 |
| Provider Name | Stephen Hurwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20220622003477 |
| Provider Name | Stephanie Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629067244 PECOS PAC ID: 0840195574 Enrollment ID: I20221208003085 |
| Provider Name | Katarzyna Lameka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164711487 PECOS PAC ID: 9234394073 Enrollment ID: I20221230001038 |
| Provider Name | Shana D Eaglefeathers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235679796 PECOS PAC ID: 7113344821 Enrollment ID: I20230217001876 |
| Provider Name | Kyle Paul Arslanian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144752882 PECOS PAC ID: 5597147819 Enrollment ID: I20230301002230 |
| Provider Name | Alan Shigemi Muraki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649348608 PECOS PAC ID: 0446387690 Enrollment ID: I20230317001571 |
| Provider Name | Stephen A Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568451284 PECOS PAC ID: 9234110008 Enrollment ID: I20230330000347 |
| Provider Name | Sabreen R Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20230413002505 |
| 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 | Mark Slepian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558350314 PECOS PAC ID: 3779488960 Enrollment ID: I20230921000696 |
| Provider Name | John Andrew Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528208097 PECOS PAC ID: 0143452383 Enrollment ID: I20230925000314 |
| Provider Name | Craig E Hancock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982693693 PECOS PAC ID: 7517871940 Enrollment ID: I20231013001119 |
| Provider Name | Mark Dearing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386669372 PECOS PAC ID: 9436165321 Enrollment ID: I20231023003006 |
| Provider Name | Eric Schackmuth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205817186 PECOS PAC ID: 7416853718 Enrollment ID: I20231024002434 |
| Provider Name | Elizabeth Lagomarsino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841301405 PECOS PAC ID: 5991707762 Enrollment ID: I20231102000731 |
| Provider Name | Susan Andrea Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20231114002446 |
| Provider Name | Dustin James Plowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20231116003199 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20231120002393 |
| Provider Name | Taniya Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20231127003327 |
| Provider Name | Andrew G Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20231128001309 |
| Provider Name | Michelle W Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20231130002385 |
| Provider Name | Laura Ann Hogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588647861 PECOS PAC ID: 3072529346 Enrollment ID: I20240128000249 |
| Provider Name | Matthew Curry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548767544 PECOS PAC ID: 0840540241 Enrollment ID: I20240219001081 |
| Provider Name | Synda Vandenmooter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588911259 PECOS PAC ID: 3779895727 Enrollment ID: I20240221000279 |
| Provider Name | Troy Stonely |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124109970 PECOS PAC ID: 3274684139 Enrollment ID: I20240406000629 |
| Provider Name | Natasha Nazari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285569 PECOS PAC ID: 6507192929 Enrollment ID: I20240423001096 |
| Provider Name | William Kamens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659733798 PECOS PAC ID: 6204252976 Enrollment ID: I20240429002901 |
| Provider Name | Aisha Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942737069 PECOS PAC ID: 9234408881 Enrollment ID: I20240509001836 |
| Provider Name | Donald C Blake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013908607 PECOS PAC ID: 5698959237 Enrollment ID: I20240605001814 |
| Provider Name | Mark Giovannetti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730123191 PECOS PAC ID: 7911976303 Enrollment ID: I20240625002448 |
| Provider Name | Celine Melitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548478639 PECOS PAC ID: 5395877906 Enrollment ID: I20240703001537 |
| Provider Name | Krysta Padilla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144815598 PECOS PAC ID: 6709285372 Enrollment ID: I20240731004884 |
| Provider Name | Robert Dowling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194740183 PECOS PAC ID: 0446277461 Enrollment ID: I20240815004539 |
| Provider Name | Kristel Lessard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518490887 PECOS PAC ID: 5799053559 Enrollment ID: I20240913000007 |
| Provider Name | Vincent Oyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194174979 PECOS PAC ID: 4789976721 Enrollment ID: I20240919001075 |
| Provider Name | Eric Gray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952764235 PECOS PAC ID: 4688965551 Enrollment ID: I20240919001200 |
| Provider Name | Aaron Moon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922264571 PECOS PAC ID: 4880834134 Enrollment ID: I20240926001026 |
| Provider Name | Benjamin Abadeer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255541603 PECOS PAC ID: 9335399641 Enrollment ID: I20241001002182 |
| Provider Name | Henry Onyeaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932738382 PECOS PAC ID: 1355782103 Enrollment ID: I20241015001048 |
| Provider Name | Anand Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962498154 PECOS PAC ID: 9638186448 Enrollment ID: I20241023000276 |
| Provider Name | Snehal Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699784272 PECOS PAC ID: 9931003456 Enrollment ID: I20241101001951 |
| Provider Name | Faheem Hussain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881608594 PECOS PAC ID: 2668470659 Enrollment ID: I20250102002102 |
| Provider Name | Richard Scalf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780663179 PECOS PAC ID: 5294762779 Enrollment ID: I20250102002874 |
| Provider Name | Michael Hovsepian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154420107 PECOS PAC ID: 7214905215 Enrollment ID: I20250102003660 |
| Provider Name | Mark G Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770585721 PECOS PAC ID: 7810946530 Enrollment ID: I20250103001904 |
| Provider Name | Tony Maung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851316954 PECOS PAC ID: 7315978186 Enrollment ID: I20250103003306 |
| Provider Name | Jerry Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801896543 PECOS PAC ID: 4789610726 Enrollment ID: I20250106000035 |
| Provider Name | Jeffrey Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205036316 PECOS PAC ID: 1153587191 Enrollment ID: I20250117001439 |
| Provider Name | Linda Petrovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528028248 PECOS PAC ID: 6204935315 Enrollment ID: I20250121001587 |
| Provider Name | Charles Singleton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275623639 PECOS PAC ID: 3173410958 Enrollment ID: I20250122001435 |
| Provider Name | Nicole O'malley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558775486 PECOS PAC ID: 3779889845 Enrollment ID: I20250122001628 |
| Provider Name | David Passerini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235180746 PECOS PAC ID: 3577574953 Enrollment ID: I20250122003110 |
| Provider Name | Charles Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417056904 PECOS PAC ID: 4183643299 Enrollment ID: I20250128003821 |
| Provider Name | Kimberly Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639790371 PECOS PAC ID: 5193257772 Enrollment ID: I20250220001764 |
| Provider Name | Chhavi Chaudhary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215592381 PECOS PAC ID: 2769717289 Enrollment ID: I20250306001809 |
| Provider Name | Henry Mason Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487675120 PECOS PAC ID: 6406914787 Enrollment ID: I20250408002555 |
| Provider Name | Guangmei Huang Curley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538984604 PECOS PAC ID: 1557888179 Enrollment ID: I20250507002410 |
Valence Health Corp Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 W Spruce St Unit A, Rawlins, WY 82301 Phone: 307-328-5595 Fax: 307-328-5561 | |
Rawlins Family Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 23rd St, Rawlins, WY 82301 Phone: 307-324-6002 | |
V. Raja Chandra, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 8th St, Rawlins, WY 82301 Phone: 307-324-2294 Fax: 307-328-1964 | |
Wyoming Healthy Optiona & Alternatives Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Ash, Rawlins, WY 82301 Phone: 307-324-0092 Fax: 307-324-0092 | |
Memorial Hospital Of Carbon County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2213 E Cedar St, Rawlins, WY 82301 Phone: 307-324-6711 | |
Cesko Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 W Maple St, Rawlins, WY 82301 Phone: 307-324-3667 Fax: 307-324-5591 |