| Ivinson Memorial Hospital | |
|
3116 Willett Dr Laramie WY 82072-5048 | |
| (307) 742-6319 | |
| (307) 742-6346 |
| Full Name | Ivinson Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 3116 Willett Dr, Laramie, Wyoming |
| Authorized Official Name and Position | James Bands (CFO) |
| Authorized Official Contact | 3077554603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivinson Memorial Hospital 255 N 30th St Laramie WY 82072-5140 Ph: (307) 742-2142 | Ivinson Memorial Hospital 3116 Willett Dr Laramie WY 82072-5048 Ph: (307) 742-6319 |
| NPI Number | 1033628599 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8325304447 |
|---|---|
| Medicare Enrollment ID | O20171213002021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033628599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Theresa Lynne Simmons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538258520 PECOS PAC ID: 6709771371 Enrollment ID: I20040220001085 |
| Provider Name | Lars E Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023110640 PECOS PAC ID: 0648162321 Enrollment ID: I20040326001211 |
| Provider Name | Barbara E Kurlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619940830 PECOS PAC ID: 7810956018 Enrollment ID: I20041005000197 |
| Provider Name | Dennis Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699701524 PECOS PAC ID: 2769442813 Enrollment ID: I20041013001165 |
| Provider Name | Maristela Batezini |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225085392 PECOS PAC ID: 5698779866 Enrollment ID: I20060830000189 |
| Provider Name | Rex Emerson Wortham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679580492 PECOS PAC ID: 0749278760 Enrollment ID: I20070104000514 |
| Provider Name | Mary D Moreno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548359946 PECOS PAC ID: 6901807668 Enrollment ID: I20070123000342 |
| Provider Name | Jean M Allais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457352478 PECOS PAC ID: 5193816965 Enrollment ID: I20070808000340 |
| Provider Name | Julie Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376530204 PECOS PAC ID: 9739270505 Enrollment ID: I20070808000344 |
| Provider Name | Amy M Weaver |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659418887 PECOS PAC ID: 5698869378 Enrollment ID: I20070926000313 |
| Provider Name | Randy A Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063528743 PECOS PAC ID: 5193719094 Enrollment ID: I20071119000116 |
| Provider Name | Mohamed El-sayed El Tarabily |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467418905 PECOS PAC ID: 1658393368 Enrollment ID: I20080227000240 |
| Provider Name | Sameera Fareed Farrukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083600183 PECOS PAC ID: 8022019314 Enrollment ID: I20080318000216 |
| Provider Name | William M Comly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013019793 PECOS PAC ID: 3971495649 Enrollment ID: I20080530000675 |
| Provider Name | Kenneth L Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831101609 PECOS PAC ID: 4688566359 Enrollment ID: I20080611000349 |
| Provider Name | Marten Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497857858 PECOS PAC ID: 6204907744 Enrollment ID: I20080611000374 |
| Provider Name | Rebecca C Carron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194812578 PECOS PAC ID: 7719083138 Enrollment ID: I20080617000331 |
| Provider Name | John J Byers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154320794 PECOS PAC ID: 4385719921 Enrollment ID: I20080818000213 |
| Provider Name | Deborah Brackett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306978580 PECOS PAC ID: 3375618408 Enrollment ID: I20080825000022 |
| Provider Name | Darren L Mikesell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275733180 PECOS PAC ID: 1456444637 Enrollment ID: I20080917000883 |
| Provider Name | Joseph G Schaaf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538251046 PECOS PAC ID: 7012084445 Enrollment ID: I20080925000743 |
| Provider Name | Tom A Nachtigal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396815809 PECOS PAC ID: 1456428671 Enrollment ID: I20080930000255 |
| Provider Name | Roberto Fars |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417053836 PECOS PAC ID: 5496737926 Enrollment ID: I20090608000176 |
| Provider Name | Jesse C Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649407040 PECOS PAC ID: 9032257670 Enrollment ID: I20091119000069 |
| Provider Name | Michael P Fallon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306854112 PECOS PAC ID: 2163487315 Enrollment ID: I20091209000223 |
| Provider Name | Paul E Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235300062 PECOS PAC ID: 8820177579 Enrollment ID: I20100218000415 |
| Provider Name | Steven J Beer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588633291 PECOS PAC ID: 4688745813 Enrollment ID: I20101104000817 |
| Provider Name | John Alan Ullrich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477577542 PECOS PAC ID: 1951596592 Enrollment ID: I20101109001134 |
| Provider Name | Caitlin P Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881995264 PECOS PAC ID: 6507055480 Enrollment ID: I20110107000149 |
| Provider Name | Beth J Romsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023310984 PECOS PAC ID: 9931380151 Enrollment ID: I20110222000344 |
| Provider Name | Beth M Laber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699721340 PECOS PAC ID: 8325085368 Enrollment ID: I20110811000385 |
| Provider Name | Patrick Tufts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093828949 PECOS PAC ID: 4183694268 Enrollment ID: I20110906000355 |
| Provider Name | Amanda M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730202623 PECOS PAC ID: 8224139241 Enrollment ID: I20111021000568 |
| Provider Name | Martha H Silver |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053300814 PECOS PAC ID: 0941308563 Enrollment ID: I20111221000276 |
| Provider Name | Lucase H Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316072788 PECOS PAC ID: 3577721919 Enrollment ID: I20120215000067 |
| 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 | Susan M Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467734970 PECOS PAC ID: 8820245129 Enrollment ID: I20120821000747 |
| Provider Name | Tracy Rene' Richard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154697167 PECOS PAC ID: 6608023296 Enrollment ID: I20120905000065 |
| Provider Name | Brent V Bowles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245564434 PECOS PAC ID: 5698810935 Enrollment ID: I20121119000218 |
| Provider Name | Robyn D Curtis-rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679823280 PECOS PAC ID: 9739332917 Enrollment ID: I20130122000315 |
| Provider Name | David Scott James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346282316 PECOS PAC ID: 0547237679 Enrollment ID: I20130206000392 |
| Provider Name | Joseph Charles Livengood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518948447 PECOS PAC ID: 4688568181 Enrollment ID: I20130709000691 |
| Provider Name | Mark S Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770571432 PECOS PAC ID: 6800893678 Enrollment ID: I20131203002085 |
| Provider Name | Kim Nicholas Westbrook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518279678 PECOS PAC ID: 4284858531 Enrollment ID: I20140606001951 |
| Provider Name | Steven Schuster |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467664136 PECOS PAC ID: 6305039710 Enrollment ID: I20140617002485 |
| Provider Name | Alison S Guest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538219340 PECOS PAC ID: 7315016268 Enrollment ID: I20140703001527 |
| 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 | Rasha M Riad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205241627 PECOS PAC ID: 5193945129 Enrollment ID: I20140925001228 |
| Provider Name | Ketura Talbot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851688352 PECOS PAC ID: 5294957742 Enrollment ID: I20141118000069 |
| Provider Name | Brahmananda K Koduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659608214 PECOS PAC ID: 0547584427 Enrollment ID: I20150124000015 |
| Provider Name | Hamid A Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871520387 PECOS PAC ID: 4981791845 Enrollment ID: I20150716001754 |
| Provider Name | Carol Lea Wright Becker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437440609 PECOS PAC ID: 9638482458 Enrollment ID: I20150722004114 |
| Provider Name | Casey M Starks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316205677 PECOS PAC ID: 7517100456 Enrollment ID: I20150917002771 |
| Provider Name | Esther A Gilman-kehrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770521726 PECOS PAC ID: 0840474003 Enrollment ID: I20160205000525 |
| Provider Name | Kelly G Follett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225355985 PECOS PAC ID: 8426283607 Enrollment ID: I20160803001906 |
| Provider Name | Derek Allen Ewell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114283124 PECOS PAC ID: 0345544193 Enrollment ID: I20160809001399 |
| Provider Name | Teresa E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124574629 PECOS PAC ID: 0143508036 Enrollment ID: I20161027001517 |
| Provider Name | Marisa Laurora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811948102 PECOS PAC ID: 4587624937 Enrollment ID: I20161103001809 |
| Provider Name | Mark N Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205829801 PECOS PAC ID: 3072517192 Enrollment ID: I20161104001805 |
| Provider Name | Claire Pederson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811215791 PECOS PAC ID: 4688989809 Enrollment ID: I20161110002515 |
| Provider Name | Terri Marty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851341465 PECOS PAC ID: 1557461571 Enrollment ID: I20161111001525 |
| Provider Name | Frederick R Freeman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720054646 PECOS PAC ID: 5698784429 Enrollment ID: I20161117002079 |
| Provider Name | Darrel J Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811132970 PECOS PAC ID: 6002972064 Enrollment ID: I20161128002450 |
| Provider Name | Laurie L Soper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558622548 PECOS PAC ID: 8628224722 Enrollment ID: I20161213001461 |
| Provider Name | Kenneth R Barrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215139001 PECOS PAC ID: 7214018647 Enrollment ID: I20161222001404 |
| Provider Name | Matthew D Sorensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639195704 PECOS PAC ID: 3971512591 Enrollment ID: I20170113001651 |
| Provider Name | Chris Cribari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922077387 PECOS PAC ID: 1951295450 Enrollment ID: I20170602001243 |
| Provider Name | Erich M Hunsaker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356643589 PECOS PAC ID: 2860630829 Enrollment ID: I20170724003886 |
| Provider Name | Burk T Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366490963 PECOS PAC ID: 4183666084 Enrollment ID: I20170829003779 |
| Provider Name | Joshua S Tierney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376838870 PECOS PAC ID: 0042583767 Enrollment ID: I20170831001711 |
| Provider Name | Heather L Lewis |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1255593851 PECOS PAC ID: 3274774674 Enrollment ID: I20170913000132 |
| Provider Name | Emma M Bjore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922441328 PECOS PAC ID: 6103066766 Enrollment ID: I20170925002184 |
| Provider Name | Jason Sondgeroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639698608 PECOS PAC ID: 9931465572 Enrollment ID: I20171114002838 |
| Provider Name | Brook Rene Wager |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821257577 PECOS PAC ID: 5294981254 Enrollment ID: I20171116000707 |
| Provider Name | David Christopher Hile |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225248842 PECOS PAC ID: 8022119593 Enrollment ID: I20171117001251 |
| Provider Name | Lisa M Hile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043375421 PECOS PAC ID: 8628157989 Enrollment ID: I20171219001314 |
| Provider Name | Amy B Driscoll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295821403 PECOS PAC ID: 2264585181 Enrollment ID: I20180206000686 |
| Provider Name | Russell T Lauver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710121710 PECOS PAC ID: 9739342866 Enrollment ID: I20180219001277 |
| Provider Name | Penny M Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013249929 PECOS PAC ID: 8426186230 Enrollment ID: I20180222002540 |
| Provider Name | Haramandeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154410967 PECOS PAC ID: 8224199815 Enrollment ID: I20180302001423 |
| Provider Name | Candace M Burch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376042960 PECOS PAC ID: 0345501383 Enrollment ID: I20180307002334 |
| Provider Name | Robert L Pedersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831178078 PECOS PAC ID: 3274593363 Enrollment ID: I20180307002566 |
| Provider Name | Warren C Dorlac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689740144 PECOS PAC ID: 9931288750 Enrollment ID: I20180409000986 |
| Provider Name | Daiva Olipra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346476835 PECOS PAC ID: 1951550177 Enrollment ID: I20180417003057 |
| Provider Name | Douglas S Maynard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760801484 PECOS PAC ID: 0749330629 Enrollment ID: I20180502001783 |
| Provider Name | Diana L Hearne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962514521 PECOS PAC ID: 0042243974 Enrollment ID: I20180521002300 |
| Provider Name | Stephen J Pecevich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194102384 PECOS PAC ID: 6800151366 Enrollment ID: I20180604001732 |
| Provider Name | Sara Ecoro Nzang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689119596 PECOS PAC ID: 2365700853 Enrollment ID: I20180615001854 |
| Provider Name | Nathan Valencia Still |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356722003 PECOS PAC ID: 3870807969 Enrollment ID: I20180618000868 |
| Provider Name | Joseph P Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942288675 PECOS PAC ID: 5698815488 Enrollment ID: I20180618002686 |
| Provider Name | Janene R Glyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518936863 PECOS PAC ID: 3678509445 Enrollment ID: I20180723002416 |
| Provider Name | Daniel S Crawley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326260191 PECOS PAC ID: 4082784467 Enrollment ID: I20180726003340 |
| Provider Name | Samuel J Brauninger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477049039 PECOS PAC ID: 1951659416 Enrollment ID: I20180731003775 |
| Provider Name | Stacy T Steans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447318928 PECOS PAC ID: 3173670833 Enrollment ID: I20180913002415 |
| Provider Name | Ekene E Ajufo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962853556 PECOS PAC ID: 8820346141 Enrollment ID: I20181016003916 |
| Provider Name | Eric J Uhlman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396823738 PECOS PAC ID: 4082621214 Enrollment ID: I20181109000297 |
| Provider Name | Lisa Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437191434 PECOS PAC ID: 2264476753 Enrollment ID: I20181213002675 |
| Provider Name | Vijaya M Koduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558672253 PECOS PAC ID: 6305182874 Enrollment ID: I20190104001512 |
| Provider Name | Gary P Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356508287 PECOS PAC ID: 2567619695 Enrollment ID: I20190117003201 |
| Provider Name | Elizabeth M Rowe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467920512 PECOS PAC ID: 4486991627 Enrollment ID: I20190128000433 |
| Provider Name | Annalise R Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614247 PECOS PAC ID: 1658619713 Enrollment ID: I20190214002157 |
| Provider Name | John A Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851737498 PECOS PAC ID: 7012205198 Enrollment ID: I20190425001698 |
| Provider Name | Daniel F Holsinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235587569 PECOS PAC ID: 7517290331 Enrollment ID: I20190611001483 |
| Provider Name | Jordan Hugart Greer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861856023 PECOS PAC ID: 4183968175 Enrollment ID: I20190612001893 |
| Provider Name | Samantha J Herriott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477845444 PECOS PAC ID: 3779803739 Enrollment ID: I20190619001445 |
| Provider Name | Angela M Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528309739 PECOS PAC ID: 6709028483 Enrollment ID: I20190723002257 |
| Provider Name | Nathaniel J Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164816500 PECOS PAC ID: 8820305758 Enrollment ID: I20190826001489 |
| Provider Name | Christopher John Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821452459 PECOS PAC ID: 5092081513 Enrollment ID: I20191014000522 |
| Provider Name | Thomas R H Witkop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962062638 PECOS PAC ID: 1557793296 Enrollment ID: I20191118002065 |
| Provider Name | John Kennedy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912095787 PECOS PAC ID: 5294770756 Enrollment ID: I20191213002362 |
| Provider Name | Jeffrey Sutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730110933 PECOS PAC ID: 4385825769 Enrollment ID: I20191231001191 |
| Provider Name | Tyler M James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407880222 PECOS PAC ID: 8921993098 Enrollment ID: I20200106000751 |
| Provider Name | Chuong D Duong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780842146 PECOS PAC ID: 5193879153 Enrollment ID: I20200224002268 |
| Provider Name | Eric J Hanly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447305818 PECOS PAC ID: 0547311383 Enrollment ID: I20200310002764 |
| Provider Name | Karrianne Lynn Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326378233 PECOS PAC ID: 2567504111 Enrollment ID: I20200321000394 |
| Provider Name | Sarah C Proehl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437492733 PECOS PAC ID: 5890087860 Enrollment ID: I20200811000689 |
| Provider Name | Liya Rodovskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457962672 PECOS PAC ID: 0446677645 Enrollment ID: I20200902002844 |
| Provider Name | Tara L Hoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770964272 PECOS PAC ID: 1254648215 Enrollment ID: I20200915001664 |
| Provider Name | Christian J Dennis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750680484 PECOS PAC ID: 2264678374 Enrollment ID: I20200921002667 |
| Provider Name | Emilee K Sandsmark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316328099 PECOS PAC ID: 7719238369 Enrollment ID: I20201102000364 |
| Provider Name | Timothy R Govaerts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780633610 PECOS PAC ID: 5597793661 Enrollment ID: I20201130001348 |
| Provider Name | Jessica B Bare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528357209 PECOS PAC ID: 3072827260 Enrollment ID: I20210107001488 |
| Provider Name | Rachael L Nemcic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316266703 PECOS PAC ID: 3476791252 Enrollment ID: I20210115000833 |
| 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 | Natalie R Mcclanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467033241 PECOS PAC ID: 0840691929 Enrollment ID: I20210628000197 |
| Provider Name | Taylor Elizabeth Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770187098 PECOS PAC ID: 0648684258 Enrollment ID: I20210713003487 |
| Provider Name | Jeffrey L Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245256916 PECOS PAC ID: 8820020589 Enrollment ID: I20210719002310 |
| Provider Name | Matthew Fournier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467849661 PECOS PAC ID: 9335460237 Enrollment ID: I20210729003359 |
| Provider Name | Tyler L Gallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831684463 PECOS PAC ID: 8022362235 Enrollment ID: I20210803002315 |
| Provider Name | Brian K Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295876142 PECOS PAC ID: 0840253993 Enrollment ID: I20210809002648 |
| Provider Name | Hilary Morgan Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518539261 PECOS PAC ID: 5890199020 Enrollment ID: I20210810000724 |
| Provider Name | Andrea R Habel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740787522 PECOS PAC ID: 8729334909 Enrollment ID: I20210819002083 |
| Provider Name | Roger Bentley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174817258 PECOS PAC ID: 6709186505 Enrollment ID: I20211004002518 |
| Provider Name | Ryan E Russi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295348167 PECOS PAC ID: 6204234040 Enrollment ID: I20211008002705 |
| Provider Name | Mark D. Shaieb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093861130 PECOS PAC ID: 9436191145 Enrollment ID: I20211203001837 |
| Provider Name | Heidi M March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679142251 PECOS PAC ID: 6204226152 Enrollment ID: I20211208000786 |
| Provider Name | Trevor W Bush |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942380431 PECOS PAC ID: 1658564463 Enrollment ID: I20220228001980 |
| Provider Name | Lauren C Munsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962179697 PECOS PAC ID: 9537553730 Enrollment ID: I20220304001217 |
| Provider Name | Branden M Petrun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669867420 PECOS PAC ID: 3274838453 Enrollment ID: I20220406000686 |
| Provider Name | Dustin L Christensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609215755 PECOS PAC ID: 4183867203 Enrollment ID: I20220414001673 |
| Provider Name | Laura Vickerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396225611 PECOS PAC ID: 9537546437 Enrollment ID: I20220516000745 |
| Provider Name | Angela K King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518931815 PECOS PAC ID: 4880642404 Enrollment ID: I20220524002458 |
| Provider Name | Thomas B Coopwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962517086 PECOS PAC ID: 0648318212 Enrollment ID: I20220701002635 |
| Provider Name | Robert J Greenhow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518937291 PECOS PAC ID: 0648166488 Enrollment ID: I20220831001936 |
| Provider Name | Nicolette C Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013484187 PECOS PAC ID: 9335472992 Enrollment ID: I20221114001987 |
| Provider Name | Molly Adami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285356857 PECOS PAC ID: 2163891029 Enrollment ID: I20221227000864 |
| Provider Name | Daniel J Kirsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578528550 PECOS PAC ID: 6800971870 Enrollment ID: I20230216002034 |
| Provider Name | Heather K Judkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669005526 PECOS PAC ID: 6507270451 Enrollment ID: I20230314002833 |
| Provider Name | Carla C Mccrave |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518092071 PECOS PAC ID: 0446350029 Enrollment ID: I20230725002779 |
| Provider Name | Rustin W Myrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720772551 PECOS PAC ID: 6709248842 Enrollment ID: I20230822000280 |
| Provider Name | Bailey Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659803963 PECOS PAC ID: 2961774583 Enrollment ID: I20230830002913 |
| Provider Name | Catherine Coffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831456847 PECOS PAC ID: 0345489803 Enrollment ID: I20231030003236 |
| Provider Name | Eric Nash |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538124250 PECOS PAC ID: 3971583626 Enrollment ID: I20240205002935 |
| Provider Name | Amy D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841060852 PECOS PAC ID: 8123465580 Enrollment ID: I20240320002889 |
| Provider Name | Cynthia L Jensen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871553255 PECOS PAC ID: 6901835461 Enrollment ID: I20240530000973 |
Dini Chiropractic Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 N 3rd St, Laramie, WY 82072 Phone: 307-742-9378 Fax: 307-742-9379 | |
Bestmed Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3810 E Grand Ave, Laramie, WY 82070 Phone: 307-721-1794 Fax: 307-721-1795 | |
Peak Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1263 N 15th St, Laramie, WY 82072 Phone: 307-745-8915 | |
Mountain View Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 Harney St Ste 100, Laramie, WY 82072 Phone: 307-742-9116 Fax: 307-745-8167 | |
High Performance Sports Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 S. 2nd Street, Laramie, WY 82070 Phone: 307-514-4041 | |
University Of Wyoming Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E University Ave, Laramie, WY 82071 Phone: 307-766-2323 |