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214 E 23rd St Cheyenne WY 82001-3748 | |
| (307) 773-8237 | |
| (307) 773-8013 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 214 E 23rd St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Margaret E Allen (DIRECTOR OF BILLING SERVICES) |
| Authorized Official Contact | 3077738237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 20970 Cheyenne WY 82003-7020 Ph: (307) 432-3685 | 214 E 23rd St Cheyenne WY 82001-3748 Ph: (307) 773-8237 |
| NPI Number | 1659458008 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 2961403639 |
|---|---|
| Medicare Enrollment ID | O20070123000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659458008 | NPI | - | NPPES |
| Provider Name | Thomas J Bledsoe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053494948 PECOS PAC ID: 8123912235 Enrollment ID: I20040210000841 |
| Provider Name | Amy Jo Harnish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225059843 PECOS PAC ID: 1658355870 Enrollment ID: I20040615001796 |
| Provider Name | Shannon Lynn Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952384927 PECOS PAC ID: 6204864564 Enrollment ID: I20050728001062 |
| Provider Name | Steven D Reeb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154367845 PECOS PAC ID: 8628097508 Enrollment ID: I20051121000638 |
| Provider Name | Shala D Swarm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659327831 PECOS PAC ID: 0547272601 Enrollment ID: I20060621000339 |
| Provider Name | Joseph R Watkins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659396695 PECOS PAC ID: 9830091222 Enrollment ID: I20070220000316 |
| Provider Name | Michael J Shannon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649218454 PECOS PAC ID: 1850334848 Enrollment ID: I20071211000683 |
| Provider Name | Gwen Marie Knight |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730371451 PECOS PAC ID: 1456307396 Enrollment ID: I20080117000039 |
| Provider Name | William A Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295718013 PECOS PAC ID: 2961584867 Enrollment ID: I20080131000162 |
| Provider Name | Andrew G Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669454443 PECOS PAC ID: 1254390032 Enrollment ID: I20090415000684 |
| Provider Name | Brian P Horst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447231527 PECOS PAC ID: 1850336298 Enrollment ID: I20101110001090 |
| Provider Name | Roy Alan Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043259641 PECOS PAC ID: 5799773214 Enrollment ID: I20101207000563 |
| Provider Name | Gregory E Stampfli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174637359 PECOS PAC ID: 0244428241 Enrollment ID: I20101216001103 |
| Provider Name | Hoo Feng Choo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093009698 PECOS PAC ID: 4981872900 Enrollment ID: I20110719000279 |
| Provider Name | Lisa Kay Burton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093756587 PECOS PAC ID: 9830278993 Enrollment ID: I20110810000487 |
| Provider Name | Jonathon D Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942219803 PECOS PAC ID: 0941235675 Enrollment ID: I20110929000071 |
| Provider Name | Bret Ryan Winter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427252865 PECOS PAC ID: 2668561861 Enrollment ID: I20120501000000 |
| Provider Name | Erin Verburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366706830 PECOS PAC ID: 7113177858 Enrollment ID: I20121015000692 |
| Provider Name | Daniel R Kisicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902060833 PECOS PAC ID: 6709024045 Enrollment ID: I20130529000268 |
| Provider Name | Prabhu D Emmady |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801056247 PECOS PAC ID: 1355582487 Enrollment ID: I20130731000855 |
| Provider Name | Natalie B Winter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285888214 PECOS PAC ID: 7719135730 Enrollment ID: I20130806000406 |
| Provider Name | Natalie A Workman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598096182 PECOS PAC ID: 9032343579 Enrollment ID: I20131016000715 |
| Provider Name | Cheryl A. Pushcar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386072965 PECOS PAC ID: 5799914537 Enrollment ID: I20140128000124 |
| Provider Name | Shannon L Treptow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982909693 PECOS PAC ID: 0143400028 Enrollment ID: I20140707000640 |
| Provider Name | Ahmad Alqaqa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962660423 PECOS PAC ID: 1951527415 Enrollment ID: I20140718002132 |
| Provider Name | Tracie A. Caller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164645206 PECOS PAC ID: 9234350059 Enrollment ID: I20141021000643 |
| Provider Name | Cheryl A Lavoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205245925 PECOS PAC ID: 4284953365 Enrollment ID: I20150512002518 |
| Provider Name | Mark D Guadagnoli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043208259 PECOS PAC ID: 1557354925 Enrollment ID: I20150528001850 |
| Provider Name | Oussama Lawand |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821283623 PECOS PAC ID: 8820302367 Enrollment ID: I20150728006391 |
| Provider Name | Gary A. Rath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144284456 PECOS PAC ID: 9032002324 Enrollment ID: I20160706002142 |
| Provider Name | Daniel D Rivard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942475298 PECOS PAC ID: 0446322853 Enrollment ID: I20160706002652 |
| Provider Name | Tyler T Leigh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952523482 PECOS PAC ID: 2365621083 Enrollment ID: I20160719001051 |
| Provider Name | Kelly G Follett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225355985 PECOS PAC ID: 8426283607 Enrollment ID: I20160803001906 |
| Provider Name | Damon Kennedy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992733224 PECOS PAC ID: 9739150608 Enrollment ID: I20160916001377 |
| Provider Name | Elias Kfoury |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841422094 PECOS PAC ID: 1456639277 Enrollment ID: I20161031000570 |
| Provider Name | Anna D'hooge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962831248 PECOS PAC ID: 4880973361 Enrollment ID: I20161128002289 |
| Provider Name | Steven Cummings |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336185636 PECOS PAC ID: 7315843273 Enrollment ID: I20170322001974 |
| Provider Name | Mark Douthit |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326038555 PECOS PAC ID: 9537056643 Enrollment ID: I20170719004171 |
| Provider Name | April Kranz-ferguson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205014560 PECOS PAC ID: 8426191149 Enrollment ID: I20170725004380 |
| Provider Name | Joseph Looby |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528003829 PECOS PAC ID: 7315901402 Enrollment ID: I20170919000332 |
| Provider Name | Hali Harrison |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851816250 PECOS PAC ID: 6305111493 Enrollment ID: I20170928002595 |
| Provider Name | Cassandra Terfehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851818504 PECOS PAC ID: 4880969104 Enrollment ID: I20171011003647 |
| Provider Name | Sisham Ingnam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427484682 PECOS PAC ID: 5991085193 Enrollment ID: I20180911000521 |
| Provider Name | Mohammad El-rifai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992112973 PECOS PAC ID: 7012268576 Enrollment ID: I20180921001287 |
| Provider Name | Kimberly Krumm |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548301542 PECOS PAC ID: 6800130212 Enrollment ID: I20181211002500 |
| Provider Name | Alison Joy Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306314026 PECOS PAC ID: 5193063188 Enrollment ID: I20190218001506 |
| Provider Name | Charles A Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821086398 PECOS PAC ID: 4688623671 Enrollment ID: I20190718002313 |
| Provider Name | Sara Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750930822 PECOS PAC ID: 8123453677 Enrollment ID: I20200110001954 |
| Provider Name | Sheena Lee Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306483300 PECOS PAC ID: 2062848203 Enrollment ID: I20200205002984 |
| Provider Name | Abdur Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700132750 PECOS PAC ID: 5092043489 Enrollment ID: I20200616001349 |
| Provider Name | Jonathan Knott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922410430 PECOS PAC ID: 2668690959 Enrollment ID: I20200722000087 |
| Provider Name | Aaron Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710417829 PECOS PAC ID: 5597036822 Enrollment ID: I20200828000680 |
| Provider Name | Amber Rae Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184033086 PECOS PAC ID: 6608295845 Enrollment ID: I20201008001115 |
| Provider Name | Brian B Friis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245686484 PECOS PAC ID: 7012244536 Enrollment ID: I20201117001633 |
| Provider Name | Amanda Caffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376143222 PECOS PAC ID: 4385056951 Enrollment ID: I20201224000336 |
| Provider Name | Rene Marie Davison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881257814 PECOS PAC ID: 3072926658 Enrollment ID: I20201229001961 |
| Provider Name | Irene Yego |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730602350 PECOS PAC ID: 0749696466 Enrollment ID: I20210304000417 |
| Provider Name | Vipul Madhwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700291747 PECOS PAC ID: 9739428798 Enrollment ID: I20210602002151 |
| Provider Name | Abdelhadi Rifai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588047245 PECOS PAC ID: 9032412085 Enrollment ID: I20210701000673 |
| Provider Name | Akhilesh Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942657010 PECOS PAC ID: 9234429846 Enrollment ID: I20210809001877 |
| Provider Name | Danielle Eileen Borin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861986747 PECOS PAC ID: 8123422490 Enrollment ID: I20210809002048 |
| Provider Name | Andrew Brent Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396998530 PECOS PAC ID: 7618365503 Enrollment ID: I20211026001969 |
| Provider Name | Katarzyna M Zarzycki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821247727 PECOS PAC ID: 9032507884 Enrollment ID: I20211027001350 |
| Provider Name | Briana Michele Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215522156 PECOS PAC ID: 8820480106 Enrollment ID: I20220118001980 |
| Provider Name | Douglas Tangel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114024080 PECOS PAC ID: 4385538685 Enrollment ID: I20220401000163 |
| Provider Name | Joanne Laura Hassell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700172434 PECOS PAC ID: 2466848098 Enrollment ID: I20220408000225 |
| Provider Name | Molly Fretag |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366176950 PECOS PAC ID: 7517349244 Enrollment ID: I20220727004307 |
| Provider Name | Anub John |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184988933 PECOS PAC ID: 7315271483 Enrollment ID: I20220903000267 |
| Provider Name | Laura E. Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497238661 PECOS PAC ID: 5395099824 Enrollment ID: I20221017002297 |
| Provider Name | Curtis Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265963656 PECOS PAC ID: 8921346370 Enrollment ID: I20221025001771 |
| Provider Name | Nicole Erin Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730564535 PECOS PAC ID: 8527434976 Enrollment ID: I20221026001779 |
| Provider Name | Jamie Marie Wilder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457929945 PECOS PAC ID: 7911270244 Enrollment ID: I20221102000543 |
| Provider Name | Laura D. March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598429359 PECOS PAC ID: 9931579091 Enrollment ID: I20230105002555 |
| Provider Name | Laura Meghan Knepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922512144 PECOS PAC ID: 4789943531 Enrollment ID: I20230118000451 |
| Provider Name | Janelle Kay Hoaglund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104459338 PECOS PAC ID: 0042623654 Enrollment ID: I20230213000630 |
| Provider Name | Supriya Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023190469 PECOS PAC ID: 4688660129 Enrollment ID: I20230221001322 |
| Provider Name | Jensen C Stock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851918767 PECOS PAC ID: 1052717436 Enrollment ID: I20230222000641 |
| Provider Name | Igal Breitman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881973014 PECOS PAC ID: 7719121847 Enrollment ID: I20230302001147 |
| Provider Name | Rubin Chandran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972571024 PECOS PAC ID: 6709817679 Enrollment ID: I20230309002089 |
| Provider Name | Kelley L. Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912692617 PECOS PAC ID: 8325403470 Enrollment ID: I20230425002526 |
| Provider Name | Denise D Macleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891787750 PECOS PAC ID: 6305941402 Enrollment ID: I20230516001228 |
| Provider Name | David Albert Valentine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093192486 PECOS PAC ID: 9335474683 Enrollment ID: I20230516001600 |
| Provider Name | Lise Phan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487031100 PECOS PAC ID: 7911240015 Enrollment ID: I20230517002235 |
| Provider Name | Ken M Fujimura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629426630 PECOS PAC ID: 6608299227 Enrollment ID: I20230522003179 |
| Provider Name | Janice Young Joo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639532187 PECOS PAC ID: 9537452685 Enrollment ID: I20230523001188 |
| Provider Name | William Denk |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407340771 PECOS PAC ID: 5597011973 Enrollment ID: I20230609002137 |
| Provider Name | Samuel Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679193536 PECOS PAC ID: 8022433507 Enrollment ID: I20230620002481 |
| Provider Name | Jyes A Querubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154688604 PECOS PAC ID: 6901179662 Enrollment ID: I20230623000849 |
| Provider Name | Kaleb Marion Leo Pat Kenneaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295363083 PECOS PAC ID: 0547668774 Enrollment ID: I20230627001630 |
| Provider Name | William Clay Mccord |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891866786 PECOS PAC ID: 9931255221 Enrollment ID: I20230627002875 |
| Provider Name | Norianne Pimentel-piatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841646981 PECOS PAC ID: 6901149061 Enrollment ID: I20230707002081 |
| Provider Name | Sarah Gordon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255625430 PECOS PAC ID: 1456577535 Enrollment ID: I20230724001584 |
| Provider Name | Justin Romano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134614399 PECOS PAC ID: 7517219785 Enrollment ID: I20230726001253 |
| Provider Name | Liam Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871090837 PECOS PAC ID: 7416380480 Enrollment ID: I20230804002535 |
| Provider Name | Carmen Petsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134809759 PECOS PAC ID: 1052773843 Enrollment ID: I20230810001763 |
| Provider Name | Sandhya Maradana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154844462 PECOS PAC ID: 1951675339 Enrollment ID: I20230810004398 |
| Provider Name | Collin D Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881830636 PECOS PAC ID: 3779620893 Enrollment ID: I20231031002184 |
| Provider Name | Mera Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699192963 PECOS PAC ID: 9133340979 Enrollment ID: I20231110002514 |
| Provider Name | Vinay K Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609984517 PECOS PAC ID: 6204920531 Enrollment ID: I20231117002962 |
| Provider Name | Rage Geringer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447757349 PECOS PAC ID: 9032514682 Enrollment ID: I20231220000961 |
| Provider Name | Christopher Rausch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902015670 PECOS PAC ID: 1153513411 Enrollment ID: I20240214001074 |
| Provider Name | Phot Luisiri |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255358081 PECOS PAC ID: 8628137023 Enrollment ID: I20240222001413 |
| Provider Name | Scott Steven Berman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811004435 PECOS PAC ID: 3870568074 Enrollment ID: I20240223003403 |
| Provider Name | Joseph E Sabat |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538426069 PECOS PAC ID: 8224393178 Enrollment ID: I20240302000223 |
| Provider Name | George Nune |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699099358 PECOS PAC ID: 1052536869 Enrollment ID: I20240306002177 |
| Provider Name | Spencer Hansen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861832255 PECOS PAC ID: 8921222498 Enrollment ID: I20240319003960 |
| Provider Name | Steven Lewis Goldberg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548345374 PECOS PAC ID: 8123163169 Enrollment ID: I20240403003639 |
| Provider Name | Aurelia Neuda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023146271 PECOS PAC ID: 9830537943 Enrollment ID: I20240409003298 |
| Provider Name | Rachel Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396399440 PECOS PAC ID: 7517305519 Enrollment ID: I20240410001492 |
| Provider Name | Daniel Taylor West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023877453 PECOS PAC ID: 9133568272 Enrollment ID: I20240422002609 |
| Provider Name | Layth Saleh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427201938 PECOS PAC ID: 9032471339 Enrollment ID: I20240603002116 |
| Provider Name | Thomas Blomquist |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215996178 PECOS PAC ID: 8921095266 Enrollment ID: I20240701003525 |
| Provider Name | Katherine Marie Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124863089 PECOS PAC ID: 3678018439 Enrollment ID: I20240716004447 |
| Provider Name | James Joseph Willox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376386664 PECOS PAC ID: 1951847672 Enrollment ID: I20240718001154 |
| Provider Name | Ann Iype |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598332165 PECOS PAC ID: 9032517909 Enrollment ID: I20240731003461 |
| Provider Name | Emily J Gallegos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972170058 PECOS PAC ID: 7214308824 Enrollment ID: I20240812001349 |
| Provider Name | Justin Stano |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386059905 PECOS PAC ID: 5991920506 Enrollment ID: I20240815002878 |
| Provider Name | Deepali Nivas Tukaye |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730404120 PECOS PAC ID: 4789813692 Enrollment ID: I20240910003810 |
| Provider Name | Mark Millwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437725058 PECOS PAC ID: 8527445287 Enrollment ID: I20240911000936 |
| Provider Name | Ryan Aleong |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1174589113 PECOS PAC ID: 7214007855 Enrollment ID: I20240917003199 |
| Provider Name | Alicia Selfridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598111320 PECOS PAC ID: 4486185071 Enrollment ID: I20241007003422 |
| Provider Name | Samuel Saltz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609049287 PECOS PAC ID: 2769674407 Enrollment ID: I20241021004189 |
| Provider Name | Ibrahim Cetindag |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447471396 PECOS PAC ID: 5092853481 Enrollment ID: I20241101002186 |
| Provider Name | Danae L Stampfli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467476028 PECOS PAC ID: 0345200440 Enrollment ID: I20241209003554 |
University Of Wyoming Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 E 17th St, Cheyenne, WY 82001 Phone: 307-777-7911 Fax: 307-777-7911 | |
Clinical Decision Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Capitol Ave, Suite 201, Cheyenne, WY 82001 Phone: 307-286-1833 | |
Physician Management Services Of Wyoming, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Prairie Ave Ste 2, Cheyenne, WY 82009 Phone: 888-829-8550 | |
Pauljordanwashburnmd, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5720 Osage Ave, 3-301, Cheyenne, WY 82009 Phone: 970-518-9394 |