BERNADETTE VERONICA MEADE (NPI# 1033100953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033100953 |
| Entity Type | Individual |
| Full Name | BERNADETTE VERONICA MEADE |
| Credential | DO |
| Practice Address |
501 S. Burma Ave. Gillette WY 82716-3246 |
| Mailing Address |
Po Box 3046 Gillette WY 82717-3046 |
| Practice Telephone | 3076883636 |
| Practice Fax Number | 3076887920 |
| Mailing Telephone | 3076882600 |
| Mailing Fax Number | 3076853079 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2015-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
8068A | WY | Allopathic & Osteopathic Physicians |
| Street Address |
501 S. BURMA AVE. |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558672253 | Vijaya Madhavi Koduri | Pediatrics | 501 S. Burma Ave., Gillette, WY 82716-3246 | 2010-06-28 |
| 1083751416 | William Fredrick Heineke | Counselor | 501 S. Burma Ave., Gillette, WY 82717 | 2007-02-01 |
| 1730275835 | Sherri Lynn Blanchard | Family Medicine | 501 S. Burma Ave., Gillette, WY 82716-3246 | 2006-10-05 |
| 1427151778 | Timothy Dean Bohlender | Family Medicine | 501 S. Burma Ave., Gillette, WY 82716-3246 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164934121 | Campbell County Hospital District | Internal Medicine | 501 S Burma Ave, Gillette, WY 82716-3426 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952524621 | Juanita Sapp | Internal Medicine | 128 N Bent St, Powell, WY 82435-2712 | 2007-04-11 |
| 1124088554 | David M. Kilpatrick | Internal Medicine | 1740h Dell Range Blvd, 206, Cheyenne, WY 82009-4946 | 2006-03-28 |
| 1841566478 | Dmkmd PC | Internal Medicine | 1740h Dell Range Blvd, Suite 206, Cheyenne, WY 82009-4946 | 2012-03-28 |
| 1063677706 | Unknown Priyanka | Internal Medicine | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2008-07-22 |
| 1740339159 | Kristina L Stefka | Internal Medicine | 820 E 17th St, Cheyenne, WY 82001-4714 | 2007-01-09 |
| 1528029329 | Wendell Jesse Robison | Internal Medicine | 1898 Fort Rd, Va Medical Center, Sheridan, WY 82801-8320 | 2006-03-31 |
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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.