WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC (NPI# 1083942080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083942080 |
Entity Type | Organization |
Organization Name | WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC |
Practice Address |
1301 W 3rd St Gillette WY 82716-3335 |
Mailing Address |
1301 W Third Street Gillette WY 82716 |
Practice Telephone | 3076827819 |
Practice Fax Number | 3076858027 |
Mailing Telephone | 3076877246 |
Mailing Fax Number | 3076858027 |
Enumeration Date | 2009-12-02 |
Last Update Date | 2015-06-08 |
Authorized Official Name | MR. LOWELL AMIOTTE (PRESIDENT) |
Authorized Official Telephone | 3076877246 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
Street Address |
1301 W 3RD ST |
City | GILLETTE |
State | WY |
Zip Code | 82716-3335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821199316 | Thomas Todd Andrew | Family Medicine | 1301 W 3rd St, Gillette, WY 82716-3335 | 2006-09-26 |
1427404060 | Rebecca Edwards | Nurse Anesthetist, Certified Registered | 1301 W 3rd St, Gillette, WY 82716-3335 | 2016-05-13 |
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 | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376028225 | Pain Care Center, LLC | Clinic/Center | 5850 E 2nd St Unit 100, Casper, WY 82609-4343 | 2018-09-26 |
1265710628 | Wyoming Pain Medicine LLC | Clinic/Center | 707 Sheridan Ave, Cody, WY 82414-3409 | 2011-08-02 |
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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.