MAX STEBELTON (NPI# 1083031215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083031215 |
| Entity Type | Individual |
| Full Name | MAX STEBELTON |
| Practice Address |
4989 N 3rd St Laramie WY 82072-9548 |
| Practice Telephone | 3077458997 |
| Practice Fax Number | 3077426146 |
| Mailing Telephone | 3077458997 |
| Mailing Fax Number | 3077426146 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2017-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
4989 N 3RD ST |
| City | LARAMIE |
| State | WY |
| Zip Code | 82072-9548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023100336 | Brooke Lynn Benson | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2006-09-28 |
| 1952909301 | Matthew Mills | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1043818487 | Kristine Holt | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1386242733 | Jacob Brownell | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1619575073 | Callie Clingman | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1518565977 | Maxwell Prevost | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1255939609 | Austin Gifford | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1750989117 | Simon Lutz | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-16 |
| 1558969030 | Gabrielle Despain | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-10-15 |
| 1619582251 | Haley Gladback | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688924 | Colby Wolf | 16th & Gibbon, Department 3414, Laramie, WY 82072 | 2020-08-03 | |
| 1871947341 | Curran Quast | Case Manager/Care Coordinator | 1465 N 4th St Ste 111, Laramie, WY 82072 | 2016-04-20 |
| 1184030827 | David Hokanson | Dentist | 352 N. 4th Street, Laramie, WY 82072 | 2014-07-02 |
| 1356673297 | Aaron Lozano | Counselor | 1465 N. 4th Street #119, Laramie, WY 82072 | 2010-02-03 |
| 1407181092 | Maureen K. Johnson Inc | In Home Supportive Care | 2010 Reynolds H280, Laramie, WY 82072 | 2009-10-15 |
| 1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
| 1851410682 | Laramie Reproductive Health | Public Health or Welfare | 1252 N 22nd St Suite A, Laramie, WY 82072 | 2007-03-29 |
| 1942345327 | Fike Chiropractic Pain Relief | Chiropractor | 1267 N 15th St, Suite 123b, Laramie, WY 82072 | 2007-02-21 |
| 1336215441 | Laramie Pediatrics Internal Medicine | Internal Medicine | 1252 North 22nd St, Ste B, Laramie, WY 82072 | 2006-11-28 |
| 1407939218 | Ark Regional Services, Inc | Occupational Therapist | 1150 N 3rd Street, Laramie, WY 82072 | 2006-10-23 |
| Find all providers in zip 82072 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235219189 | Shaun S Shafer Md PC | Specialist | 204 Mccollum Drive #201, Laramie, WY 82072 | 2006-10-16 |
| 1588150692 | Jessie Brewster | Specialist | 4989 N 3rd St, Laramie, WY 82072 | 2018-07-02 |
| 1831698232 | John Schaeffer | Specialist | 4989 N 3rd St, Laramie, WY 82072-9548 | 2018-02-12 |
| 1740703396 | Kaleigh Birdsell | Specialist | 4989 N 3rd St, Laramie, WY 82072 | 2017-07-25 |
| 1932630357 | Ryan Lorimer | Specialist | 4989 N 3rd St, Laramie, WY 82072-9548 | 2017-03-27 |
| 1841670122 | Sara Varley | Specialist | 4989 N 3rd St, Laramie, WY 82072-9548 | 2015-06-02 |
| 1326474867 | Shanaye Stewart | Specialist | 4989 N 3rd St, Laramie, WY 82072-9548 | 2013-09-16 |
| 1568706646 | Misty Langwell | Specialist | 4989 N 3rd St, Laramie, WY 82072-9548 | 2012-11-15 |
| 1356588727 | Cathedral Home for Children | Specialist | 4989 N 3rd St, Laramie, WY 82072-9548 | 2009-01-07 |
| 1164645214 | Clinton F Merrill Md PC | Specialist | 255 N 30th St, Laramie, WY 82072-5140 | 2007-04-10 |
| Find all providers in LARAMIE | ||||
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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.