BIG HORN FOOT CLINIC, PC (NPI# 1003050253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003050253 |
| Entity Type | Organization |
| Organization Name | BIG HORN FOOT CLINIC, PC |
| Practice Address |
424 Yellowstone Ave Suite 140 Cody WY 82414-9318 |
| Mailing Address |
777 Avenue H Powell WY 82435-2260 |
| Practice Telephone | 3075279191 |
| Mailing Telephone | 3077549191 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Authorized Official Name | DUNCAN HUGH FRASER (PODIATRIST/OWNER) |
| Authorized Official Telephone | 3075279191 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
104 | WY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BLUE CROSS BLUE SHIELD | 307844 | 01 |
| WY | NPI FOR D HUGH FRASER DPM | 1114923463 | 01 |
| WY | 113976200 | 05 | |
| WY | RAILROAD MEDICARE | 480027493 | 01 |
| WY | DMERC NPI FOR 777 AVENUE H POWELL, WY 82435 | 1245365154 | 01 |
| Street Address |
424 YELLOWSTONE AVE SUITE 140 |
| City | CODY |
| State | WY |
| Zip Code | 82414-9318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157484 | Barry Peterson Welch | Ophthalmology | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9318 | 2005-07-13 |
| 1477192243 | West Park Hospital District | Clinic/Center | 424 Yellowstone Ave, Cody, WY 82414-9309 | 2019-12-27 |
| 1093185191 | Stephen Rogers | Physician Assistant | 424 Yellowstone Ave, Suite 140, Cody, WY 82414-9309 | 2015-10-01 |
| 1487054631 | Amy Ruskowsky | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9309 | 2014-08-25 |
| 1669818969 | Big Horn Basin Regional Dialysis Center LLC | Clinic/Center | 424 Yellowstone Ave, Suite 150, Cody, WY 82414-9309 | 2013-05-14 |
| 1518239391 | Courtney Spence | Internal Medicine | 424 Yellowstone Ave, Suite 230, Cody, WY 82414-9309 | 2012-02-08 |
| 1467617266 | Alisa K Stewart | Optometrist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9318 | 2008-07-22 |
| 1124220645 | Northern Wyoming Ophthalmology, P.C. | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-3423 | 2007-06-05 |
| 1811022429 | Nancy Winkler | Nurse Practitioner | 424 Yellowstone Ave, Suite 230, Cody, WY 82414-9309 | 2007-02-22 |
| 1477527299 | Lisa Ellen Harvey | Family Medicine | 424 Yellowstone Ave, Ste 120, Cody, WY 82414 | 2006-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801286778 | Five Star Feet, LLC | Podiatrist | 2525 Road 218, Cheyenne, WY 82009-9103 | 2015-01-30 |
| 1700060902 | Evanston Family Foot Care | Podiatrist | 1565 Highway 150 South, Suite C, Evanston, WY 82930-5348 | 2007-12-24 |
| 1992820781 | Rick B Roper | Podiatrist | 2029 Bluegrass Circle, Suite 2, Cheyenne, WY 82009-7369 | 2007-03-20 |
| 1518037043 | Eric M Dash | Podiatrist | 1916 E 1st St, Suite 1, Casper, WY 82601-2777 | 2006-11-09 |
| 1023404514 | Utah Podiatry Group PC | Podiatrist | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2015-04-10 |
| 1760824502 | Advanced Foot Care | Podiatrist | 1303 E Grand Ave, Laramie, WY 82070-4137 | 2013-07-22 |
| 1568710598 | The Foot Clinic LLC | Podiatrist | 1916 E 1st St, Casper, WY 82601-2777 | 2012-08-23 |
| 1639459068 | Jason K Kane | Podiatrist | 132 N Gould St, Sheridan, WY 82801-3928 | 2011-08-17 |
| 1922241181 | Lael J. Beachler | Podiatrist | 777 Avenue H, Powell, WY 82435-2260 | 2009-04-16 |
| 1912057290 | Aaron Deane Donaldson | Podiatrist | 1005 College View Dr, Riverton, WY 82501-2266 | 2007-01-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.