SAMEERA F FAREED FARRUKH (NPI# 1083600183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083600183 |
| Entity Type | Individual |
| Full Name | SAMEERA F FAREED FARRUKH |
| Credential | M.D. |
| Practice Address |
407 S Medical Arts Ct Suite F Gillette WY 82716-3372 |
| Practice Telephone | 3076821441 |
| Practice Fax Number | 3076863619 |
| Mailing Telephone | 3076821441 |
| Mailing Fax Number | 3076863619 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 8201 | NV | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 7760A | WY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD00045691 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 8201 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE MEDICAL LICENSE | MD00045691 | 01 |
| NV | 002017004 | 05 | |
| NV | STATE MEDICAL LICENSE | 8201 | 01 |
| Street Address |
407 S MEDICAL ARTS CT SUITE F |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558660498 | Davis Ent Specialists, PC | Durable Medical Equipment & Medical Supplies | 407 S Medical Arts Ct, Ste. C, Gillette, WY 82716-3372 | 2011-03-17 |
| 1124323480 | Davis Ent Specialists, PC | Internal Medicine | 407 S Medical Arts Ct, Ste. C, Gillette, WY 82716-3372 | 2011-01-18 |
| 1669772075 | Annie Lorie Worman | Pharmacist | 407 S Medical Arts Ct, Suite A, Gillette, WY 82716-3372 | 2010-11-01 |
| 1336463611 | Hearing Solutions LLC | Audiologist | 407 S Medical Arts Ct, Suite F, Gillette, WY 82716-3372 | 2010-03-16 |
| 1922271386 | Campbell County Hospital District | Clinic/Center | 407 S Medical Arts Ct, Suite F, Gillette, WY 82716-3372 | 2008-04-08 |
| 1841408416 | Professional Hearing Group | Audiologist | 407 S Medical Arts Ct, Suite F, Gillette, WY 82716-3372 | 2007-05-18 |
| 1184765554 | Johns Medical Hill Pharmacy PC | Durable Medical Equipment & Medical Supplies | 407 S Medical Arts Ct, Suite A, Gillette, WY 82716-3372 | 2007-02-09 |
| 1497841548 | Gillette Internal Medicine Associates PC | Internal Medicine | 407 S Medical Arts Ct, Suite D, Gillette, WY 82716-3372 | 2006-10-05 |
| 1881631802 | Ian R Swift | Otolaryngology | 407 S Medical Arts Ct, Suite F, Gillette, WY 82716-3372 | 2006-05-31 |
| 1578553384 | William D Thompson | Physician Assistant | 407 S Medical Arts Ct, Suite D, Gillette, WY 82716-3372 | 2005-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1386614113 | Sairav B Shah | Internal Medicine | 501 S Burma Avenue, Ste 3500, Gillette, WY 82716-3426 | 2006-01-24 |
| 1922094036 | Farrukh Javaid | Internal Medicine | 407 S Medical Arts Ct Ste F, Gillette, WY 82716-3372 | 2005-09-23 |
| 1881246551 | Wyoming Medical Wellness Center PC | Internal Medicine | 109 W Lakeway Rd Ste A, Gillette, WY 82718-6352 | 2019-07-12 |
| 1154585271 | Nahida Sultana Khan | Internal Medicine | 501 S Burma Ave, Gillette, WY 82716 | 2008-07-17 |
| 1316027345 | Rebecca A Painter | Internal Medicine | 201 W Lakeway Rd, Suite 300, Gillette, WY 82718-6361 | 2006-10-16 |
| 1497841548 | Gillette Internal Medicine Associates PC | Internal Medicine | 407 S Medical Arts Ct, Suite D, Gillette, WY 82716-3372 | 2006-10-05 |
| 1477575686 | David J Mohlman | Internal Medicine | 501 S Burma Ave, Gillette, WY 82716-3426 | 2006-07-24 |
| 1619925906 | Landi Frances Lowell | Internal Medicine | 501 S Burma Ave, Gillette, WY 82716-3426 | 2006-05-05 |
| 1598755530 | Kirtikumar L Patel | Internal Medicine | 407 S Medical Arts Ct Ste D, Gillette, WY 82716-3372 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286355 | Us Clinical Partners | Internal Medicine | 30 N Gould St Ste R, Sheridan, WY 82801-6317 | 2020-05-14 |
| 1700408192 | Optimal Aqua Therapy, LLC | Internal Medicine | 611 E Carlson St Ste 117d, Cheyenne, WY 82009-4311 | 2020-05-08 |
| 1659911550 | Optimal Performance Medicine, LLC | Internal Medicine | 611 E Carlson St Ste 117c, Cheyenne, WY 82009-4311 | 2020-01-09 |
| 1518508845 | Stephen G. Jacobson | Internal Medicine | 1331 Jack Ln, Cheyenne, WY 82009-1874 | 2019-10-08 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1407114671 | Paul Jordan Washburn | Internal Medicine | 611 E Carlson St Ste B, Cheyenne, WY 82009-4311 | 2012-04-25 |
| 1750650404 | Terry Donaldson Md, PC. | Internal Medicine | 912 Whitewater Dr, Rock Springs, WY 82901-7828 | 2011-12-27 |
| 1205116506 | Nicholas K Rasmussen | Internal Medicine | 156 N 6th Street, Basin, WY 82410-0388 | 2011-08-18 |
| 1508162785 | Dominion Health Inc. | Internal Medicine | 109 517th St, Suite 25, Cheyenne, WY 82001 | 2011-02-04 |
| 1861722688 | Big Horn Health Network | Internal Medicine | 1333 W 5th St Ste 110, Sheridan, WY 82801-2752 | 2009-12-29 |
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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.