Sheridan Memorial Clinics | |
1333 W 5th St Sheridan WY 82801-2752 | |
(307) 675-2650 | |
(307) 675-2651 |
Full Name | Sheridan Memorial Clinics |
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Speciality | Internal Medicine |
Location | 1333 W 5th St, Sheridan, Wyoming |
Authorized Official Name and Position | Nathan Stutte (CFO) |
Authorized Official Contact | 3076721000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sheridan Memorial Clinics 1333 W 5th St Ste 110 Sheridan WY 82801-2752 Ph: (307) 675-4668 | Sheridan Memorial Clinics 1333 W 5th St Sheridan WY 82801-2752 Ph: (307) 675-2650 |
NPI Number | 1861722688 |
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Provider Enumeration Date | 12/29/2009 |
Last Update Date | 03/28/2023 |
Medicare PECOS PAC ID | 1254476484 |
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Medicare Enrollment ID | O20100226000582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861722688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael W Brennan |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1619903705 PECOS PAC ID: 3971405929 Enrollment ID: I20040413000636 |
Provider Name | Corey J Jost |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1700914306 PECOS PAC ID: 3476582321 Enrollment ID: I20060126000839 |
Provider Name | Derek H Gilbert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477665925 PECOS PAC ID: 6305815317 Enrollment ID: I20060302000595 |
Provider Name | Lawrence G Gill |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1780667808 PECOS PAC ID: 0547279382 Enrollment ID: I20060406000276 |
Provider Name | Bridgette M Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649252297 PECOS PAC ID: 1254340094 Enrollment ID: I20060406000291 |
Provider Name | Laura M Ferries |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700827557 PECOS PAC ID: 9335151174 Enrollment ID: I20060619000244 |
Provider Name | Barry E Mangus |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1063627115 PECOS PAC ID: 1557449089 Enrollment ID: I20080423000490 |
Provider Name | Gregg L Mcadoo |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457324329 PECOS PAC ID: 9537079454 Enrollment ID: I20090810000029 |
Provider Name | Sara C Smith Maguire |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1245280148 PECOS PAC ID: 7810992179 Enrollment ID: I20100224000836 |
Provider Name | Cheryl L Varner |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1568443398 PECOS PAC ID: 2567447329 Enrollment ID: I20120522001323 |
Provider Name | Joseph R Garcia |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1376686329 PECOS PAC ID: 4789646761 Enrollment ID: I20120920000788 |
Provider Name | Kimberlee D Gilbert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356696371 PECOS PAC ID: 1456501287 Enrollment ID: I20121101000091 |
Provider Name | Juli A Ackerman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619292927 PECOS PAC ID: 3274777198 Enrollment ID: I20130916000531 |
Provider Name | Jason D Ackerman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396060604 PECOS PAC ID: 3779727607 Enrollment ID: I20130916000596 |
Provider Name | Becky L Olson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679772677 PECOS PAC ID: 9830333574 Enrollment ID: I20130918000603 |
Provider Name | Rebecca R Franklund |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881820256 PECOS PAC ID: 9537303979 Enrollment ID: I20130925000026 |
Provider Name | David E Nickerson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1982922001 PECOS PAC ID: 9436302445 Enrollment ID: I20131009000854 |
Provider Name | David C Walker |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639142508 PECOS PAC ID: 7719897636 Enrollment ID: I20131011000825 |
Provider Name | Hannah M Hall |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124343934 PECOS PAC ID: 7719111483 Enrollment ID: I20131011000924 |
Provider Name | Sarah A Sommers |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1699100826 PECOS PAC ID: 0042445025 Enrollment ID: I20131029000486 |
Provider Name | Amanda M Mcintire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407265515 PECOS PAC ID: 1951523679 Enrollment ID: I20141113001550 |
Provider Name | Kristopher C Schamber |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942590054 PECOS PAC ID: 0840428116 Enrollment ID: I20150623003122 |
Provider Name | Benjamin R Widener |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1487944484 PECOS PAC ID: 1052539111 Enrollment ID: I20150626000493 |
Provider Name | Shalyn Kaye Ballew |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1336275395 PECOS PAC ID: 1658688817 Enrollment ID: I20150921001258 |
Provider Name | Robin K Horsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447671920 PECOS PAC ID: 4688982374 Enrollment ID: I20150929003229 |
Provider Name | Melanie Anne Kawulok |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093091381 PECOS PAC ID: 5890838403 Enrollment ID: I20160908002525 |
Provider Name | Erica D Rinker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679860597 PECOS PAC ID: 5597914846 Enrollment ID: I20160915002565 |
Provider Name | Diana Rose Charlson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689129116 PECOS PAC ID: 0143518092 Enrollment ID: I20161010002129 |
Provider Name | Rebekah J Montgomery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215482195 PECOS PAC ID: 1951681345 Enrollment ID: I20161130001537 |
Provider Name | Sierra Dawn Gross |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649698366 PECOS PAC ID: 1557588779 Enrollment ID: I20171016002766 |
Provider Name | Lindsay Capron |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447664412 PECOS PAC ID: 6608166806 Enrollment ID: I20180924000755 |
Provider Name | Christopher M Prior |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487670717 PECOS PAC ID: 0042314569 Enrollment ID: I20190903002078 |
Provider Name | Jeffrey Anton Shideman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699316430 PECOS PAC ID: 7214361641 Enrollment ID: I20191218000724 |
Provider Name | Glennda Yvonne Grier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801451133 PECOS PAC ID: 9830523299 Enrollment ID: I20191218002197 |
Provider Name | Elisabeth Marie Scalva |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1295173821 PECOS PAC ID: 3072802545 Enrollment ID: I20200702001974 |
Provider Name | Elise Sylar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568994176 PECOS PAC ID: 3375968522 Enrollment ID: I20200804003742 |
Provider Name | Jordan Mccoy |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1508282153 PECOS PAC ID: 0749404960 Enrollment ID: I20201019000641 |
Provider Name | Pattie Visscher |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1912587882 PECOS PAC ID: 0840690285 Enrollment ID: I20210607002209 |
Provider Name | Natalie R Mcclanahan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467033241 PECOS PAC ID: 0840691929 Enrollment ID: I20210628000197 |
Provider Name | Tyler Slyngstad |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1134495104 PECOS PAC ID: 5597054494 Enrollment ID: I20210716000920 |
Provider Name | Laura Bainbridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134622491 PECOS PAC ID: 7012272115 Enrollment ID: I20210903002251 |
Provider Name | Daniel D Holst |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1174974828 PECOS PAC ID: 8729485107 Enrollment ID: I20210928001565 |
Provider Name | Chyna Brooke Raulston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124792163 PECOS PAC ID: 8820488828 Enrollment ID: I20211207000288 |
Provider Name | Rebecca Krzyminski |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1104185065 PECOS PAC ID: 8426378696 Enrollment ID: I20220711003266 |
Provider Name | Derek Redinger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265963698 PECOS PAC ID: 9032548284 Enrollment ID: I20220713003217 |
Provider Name | Joshua Scott |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1023240108 PECOS PAC ID: 4587848197 Enrollment ID: I20220815002019 |
Provider Name | Emily Denney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275832057 PECOS PAC ID: 2668775743 Enrollment ID: I20230112000553 |
Provider Name | Allison Dawson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114589256 PECOS PAC ID: 6800122813 Enrollment ID: I20230926003494 |
Provider Name | Krista Frank |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346888161 PECOS PAC ID: 4082041777 Enrollment ID: I20230928001975 |
Provider Name | Erin Henderson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063663102 PECOS PAC ID: 2163694803 Enrollment ID: I20231114001344 |
Provider Name | Susan Kreager |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1881134500 PECOS PAC ID: 3678991353 Enrollment ID: I20240129000537 |
Provider Name | Joseph Schmidt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780100917 PECOS PAC ID: 5890068894 Enrollment ID: I20240226001490 |
Provider Name | Claire Buckingham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598230724 PECOS PAC ID: 1456697440 Enrollment ID: I20240418001462 |
Purple Skies Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1745 S Sheridan Ave, Sheridan, WY 82801 Phone: 307-752-8136 | |
Goose Creek Family Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304 Coffeen Ave, Suite A, Sheridan, WY 82801 Phone: 307-674-1744 Fax: 307-674-1752 | |
Sheridan Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1435 Burton St, Sheridan, WY 82801 Phone: 307-672-0763 Fax: 307-672-0766 | |
Child Development Center Region 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 S Linden Ave, Sheridan, WY 82801 Phone: 307-672-6610 Fax: 307-674-5947 | |
Goose Creek Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 Val Vista St Ste B, Sheridan, WY 82801 Phone: 307-655-8661 Fax: 307-655-8662 | |
Gary Mundy Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1955 Coffeen Ave, Sheridan, WY 82801 Phone: 307-673-7560 | |
Sheridan Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 W 5th St, Sheridan, WY 82801 Phone: 307-672-5881 |