SEBASTINE I ELENDU (NPI# 1073536074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073536074 |
| Entity Type | Individual |
| Full Name | SEBASTINE I ELENDU |
| Credential | MD |
| Practice Address |
2301 House Ave Suite 201 Cheyenne WY 82001-3176 |
| Mailing Address |
1559 208th Pl Bayside NY 11360-1121 |
| Practice Telephone | 3076387757 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 32334 | SC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 199938 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
32334 | SC | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
32334 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NC1134 | 05 | |
| MS | 02053740 | 05 | |
| SC | MEDICAID GROUP | GP4306 | 01 |
| LA | 1076350 | 05 | |
| SC | MEDICAID GROUP | GP3912 | 01 |
| Street Address |
2301 HOUSE AVE SUITE 201 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-3176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124134 | Celina Frances Tolge | Psychiatry & Neurology | 2301 House Ave, Suite 203, Cheyenne, WY 82001-3176 | 2005-06-16 |
| 1871098707 | Rachel Kelley Morgan | Physician Assistant | 2301 House Ave, Suite 502, Cheyenne, WY 82001-4165 | 2018-03-23 |
| 1346798675 | North Star Infusion Inc | Pharmacy | 2301 House Ave, Ste 101, Cheyenne, WY 82001-3176 | 2016-09-15 |
| 1891243481 | North Star Infusion Inc | Pharmacy | 2301 House Ave, Suite 101, Cheyenne, WY 82001 | 2016-09-13 |
| 1568815843 | Frontier Anesthesia LLC | Anesthesiologist Assistant | 2301 House Ave, Suite 300, Cheyenne, WY 82001-3176 | 2016-07-21 |
| 1114336781 | Summit Spine and Neurosurgery Associates | Neurological Surgery | 2301 House Ave, Suite 505, Cheyenne, WY 82001-3176 | 2014-08-08 |
| 1073939385 | May Katharine Collins Lehman | Physician Assistant | 2301 House Ave, Suite 301, Cheyenne, WY 82001-3176 | 2014-03-11 |
| 1174870554 | Epix Anesthesia of Cheyenne, PC | Anesthesiology | 2301 House Ave, Ste 300, Cheyenne, WY 82001-3176 | 2012-08-06 |
| 1700172434 | Joanne Laura Hassell | Pediatrics | 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 | 2011-06-21 |
| 1093009698 | Hoo Feng Choo | Internal Medicine | 2301 House Ave, Suite 201, Cheyenne, WY 82001-3176 | 2011-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1649519554 | Amy P Tortorich PC | Internal Medicine | 816 Oakhurst Dr, Cheyenne, WY 82009-1066 | 2013-02-13 |
| 1750475422 | Mountain Falls Clinic, P.C. | Internal Medicine | 2301 House Ave., Suite 201, Cheyenne, WY 82001 | 2006-10-03 |
| 1447459763 | Sodienye Tetenta | Internal Medicine | 2301 House Ave, Suite 201, Cheyenne, WY 82001-3176 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497055891 | Ramzi T Ammari PC | Internal Medicine | 1300 W 4th Street, Gillette, WY 82716-3339 | 2010-11-01 |
| 1770844474 | Bikram Sharma | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901 | 2012-05-30 |
Please comment or provide details below to improve the information on SEBASTINE I ELENDU.
| 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.