BIG HORN UROLOGY PC (NPI# 1043379472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043379472 |
| Entity Type | Organization |
| Organization Name | BIG HORN UROLOGY PC |
| Other Organization Name | DR STEPHEN W HOLST MD |
| Practice Address |
340 West Dow Street Sheridan WY 82801 |
| Practice Telephone | 3076721806 |
| Practice Fax Number | 3076721808 |
| Mailing Telephone | 3076721806 |
| Mailing Fax Number | 3076721808 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-06-10 |
| Authorized Official Name | DR. STEPHEN WILSON HOLST (PRESIDENT BIG HORN UROLOGY PC) |
| Authorized Official Telephone | 3076721806 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 2157 | CO | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 5434A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BLUE CROSS BLUE SHIELD | 306592 | 01 |
| WY | 109407600 | 05 |
| Other Name | Type Code |
|---|---|
| Dr Stephen W Holst MD | Other Name - Individual/Organization |
| Street Address |
340 WEST DOW STREET |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295896751 | Stephen Wilson Holst | Urology | 340 West Dow Street, Sheridan, WY 82801 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295896751 | Stephen Wilson Holst | Urology | 340 West Dow Street, Sheridan, WY 82801 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306139050 | Brandon Trojan | Urology | 1416 E A St Ste 101, Casper, WY 82601-2276 | 2011-05-26 |
| 1992899223 | James A Lugg | Urology | 2301 House Ave Ste 502, Cheyenne, WY 82001-3179 | 2006-10-03 |
| 1639262595 | Harold L. Pierce | Urology | 2720 Harney St, Suite 200, Laramie, WY 82072-2899 | 2006-10-02 |
| 1871693838 | Michael Sutphin | Urology | 1180 College Drive, Rock Springs, WY 82901 | 2006-09-22 |
| 1487765764 | Urology Clinic PC | Urology | 2710 Harney St, Suite 200, Laramie, WY 82070-2899 | 2006-08-31 |
| 1578679809 | James Byrd Haden | Urology | 1416 E A St # S101, Casper, WY 82601-2276 | 2006-08-21 |
| 1689787566 | Lisa J Finkelstein | Urology | 557 E Broadway, Jackson, WY 83002 | 2006-08-16 |
| 1740291137 | William Dean Flock | Urology | 2606 E Grand Ave, Laramie, WY 82070-5251 | 2006-08-10 |
| 1275592024 | John Paul Jones | Urology | 1416 E A St, Ste 101, Casper, WY 82601-2276 | 2006-03-21 |
| 1508832080 | Urological Services of Northern Wyoming Professional Corporation | Urology | 225 W Yellowstone Ave, Suite #9, Cody, WY 82414-8702 | 2006-02-24 |
| 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.