SARA E MALSOM (NPI# 1033528666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033528666 |
| Entity Type | Individual |
| Full Name | SARA E MALSOM |
| Credential | PA-C |
| Practice Address |
925 W Birch Glenrock WY 82637 |
| Mailing Address |
Po Box 786 Glenrock WY 82637-0786 |
| Practice Telephone | 3074369206 |
| Practice Fax Number | 3074369730 |
| Mailing Telephone | 3074369206 |
| Mailing Fax Number | 3074369730 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PT637 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
925 W BIRCH |
| City | GLENROCK |
| State | WY |
| Zip Code | 82637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730303587 | Sarah Virginia Stalker | Pharmacist | 925 W Birch, Glenrock, WY 82637 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477044261 | Audrey Boespflug | Social Worker | 925 W. Birch St, Glenrock, WY 82637 | 2018-05-29 |
| 1568971836 | Breanna Jewel St. Gelais | Doula | 167 Fort Laramie Street, Glenrock, WY 82637 | 2017-09-29 |
| 1033407531 | Aaron David Larsen | Dentist | 925 Wbirch, Glenrock, WY 82637 | 2011-07-18 |
| 1043529662 | A Step Forward L.L.C. | Counselor | 506 West Birch, Suite 14, Glenrock, WY 82637 | 2010-09-30 |
| 1609023878 | Quality of Life, P.C. | Nurse Practitioner | 506 Birch St., Glenrock, WY 82637 | 2008-08-19 |
| 1851481386 | Deborah S Heyer | General Practice | 525 E Birch, Glenrock, WY 82637 | 2006-10-13 |
| 1679582357 | Memorial Hospital of Converse County | Clinic/Center | 525 East Birch Street, Glenrock, WY 82637 | 2006-08-05 |
| 1922470293 | Casper Mountain Dental | Dentist | 925 W Birch Street, Glenrock, WY 82637 | 2015-10-27 |
| 1508992603 | Kathleen Meehan Murphy | Dentist | 925 W Birch St, Glenrock, WY 82637 | 2007-02-26 |
| 1881748762 | Case Management Services Incorporated | Day Training, Developmentally Disabled Services | 851 Lookout Drive, Glenrock, WY 82637-0252 | 2007-01-22 |
| Find all providers in zip 82637 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695339 | Breanna Alisia Young | Physician Assistant | 521 Shoshoni Trl, Glenrock, WY 82637-5217 | 2020-10-07 |
| 1679972798 | Jeffrey Brown | Physician Assistant | 925 Birch St, Glenrock, WY 82637-0786 | 2014-08-14 |
| 1770822074 | Amber Bock | Physician Assistant | 925 W Birch St, Glenrock, WY 82637-0786 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364051 | Breiana Pedersen | Physician Assistant | 705 Robbies View Dr, Lander, WY 82520-3951 | 2020-10-25 |
| 1083187199 | Chelsea Eddington | Physician Assistant | 620 Granite Peak Dr Apt 307, Casper, WY 82609-4551 | 2019-01-10 |
| 1174006928 | Robert Walter Carpenter | Physician Assistant | 1208 Hilltop Dr Ste 203, Rock Springs, WY 82901-5859 | 2018-09-07 |
| 1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
| 1467950154 | Kaylun Grandy | Physician Assistant | 1952 Harrison Drive, Evanston, WY 82930-3241 | 2018-01-27 |
| 1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
| 1326591058 | Gale Dahlager Crozier | Physician Assistant | 1 Interloop Rd, Jackson Lake Lodge, Moran, WY 83013 | 2016-07-29 |
| 1255724258 | Jason L Ray | Physician Assistant | 103 W. 3rd St., Marbleton, WY 83113 | 2015-03-15 |
| 1578993671 | Jessica Henry | Physician Assistant | 4140 Laramie St, Cheyenne, WY 82001-1969 | 2013-11-26 |
| 1801220454 | Eric Arthur Anderson | Physician Assistant | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
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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.