FREMONT ANESTHESIA ASSOCIATE, PLLC (NPI# 1053508564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053508564 |
| Entity Type | Organization |
| Organization Name | FREMONT ANESTHESIA ASSOCIATE, PLLC |
| Practice Address |
2100 W Sunset Dr Riverton WY 82501-2274 |
| Mailing Address |
Po Box 30918 Billings MT 59116-0918 |
| Practice Telephone | 8009671646 |
| Practice Fax Number | 3175672191 |
| Mailing Telephone | 3175672180 |
| Mailing Fax Number | 3175672191 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | MATTHEW A MULLINIX (MANAGING GROUP MEMBER) |
| Authorized Official Telephone | 3078564161 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | WY | Allopathic & Osteopathic Physicians | |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | RAILROAD MEDICARE | DG4268 | 01 |
| WY | 1053508564 | 05 | |
| WY | BCBS | 06208001 | 01 |
| Street Address |
2100 W SUNSET DR |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-2274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710978499 | William Michael Crosby | Anesthesiology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2005-11-02 |
| 1134643604 | Clinical Colleagues Inc | Anesthesiology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2017-07-27 |
| 1295153591 | Riverton Memorial Hospital, LLC | Rehabilitation Unit | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2014-04-03 |
| 1174941520 | Riverton Memorial Hospital, LLC | Psychiatric Unit | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2014-04-02 |
| 1922424506 | Jason Cheng | Emergency Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2014-03-06 |
| 1619236791 | Riverton Physician Practices LLC | Internal Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2012-05-10 |
| 1619274347 | Chukar Haven Anesthesia PC | Nurse Anesthetist, Certified Registered | 2100 W Sunset Dr, Anesthesia - Mullinix, Riverton, WY 82501-2274 | 2011-02-15 |
| 1174858302 | Riverton Physician Practices LLC | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2009-10-06 |
| 1659526606 | Cielette M Karn, Md | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2008-11-18 |
| 1720249899 | Glen Hybarger | Internal Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2008-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619274347 | Chukar Haven Anesthesia PC | Nurse Anesthetist, Certified Registered | 2100 W Sunset Dr, Anesthesia - Mullinix, Riverton, WY 82501-2274 | 2011-02-15 |
| 1881630994 | Ryan J Wilcox | Nurse Anesthetist, Certified Registered | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2006-06-20 |
| 1063457893 | Matthew Mullinix | Nurse Anesthetist, Certified Registered | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2006-06-17 |
| 1588609325 | Kari Sack | Nurse Anesthetist, Certified Registered | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005336 | Clinic Ketamine, P.C. | Nurse Anesthetist, Certified Registered | 70 Meadow St, Lyman, WY 82937-9008 | 2020-02-20 |
| 1467922468 | Cloud Peak Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1307 W 3rd St Ste B, Gillette, WY 82716-3343 | 2018-12-03 |
| 1548794340 | Amber Knuths | Nurse Anesthetist, Certified Registered | 4514 Running W Dr, Apartment 303, Gillette, WY 82718-2025 | 2017-04-18 |
| 1285972737 | Amanda Raye Zuck | Nurse Anesthetist, Certified Registered | 3100 W Lakeway Rd Ste 3, Gillette, WY 82718-6373 | 2013-01-17 |
| 1912298530 | Justin R Fenus | Nurse Anesthetist, Certified Registered | 190 Seminole Dr, Evanston, WY 82930-6600 | 2011-04-30 |
| 1083785281 | Richard Carver | Nurse Anesthetist, Certified Registered | 195 Overthrust Rd., Evanston, WY 82930-9266 | 2006-11-11 |
| 1104917558 | Jeffrey L Green | Nurse Anesthetist, Certified Registered | 1524 W 5th St, Sheridan, WY 82801-2707 | 2006-09-28 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1558396911 | Gary Max Hess | Nurse Anesthetist, Certified Registered | Star Valley Medical Center, 110 Hospital Lane, Afton, WY 83110 | 2006-07-12 |
| 1316979057 | William David Hamilton | Nurse Anesthetist, Certified Registered | 625 East Broadway, Jackson, WY 83001 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FREMONT ANESTHESIA ASSOCIATE, PLLC.
| 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.