STANFORD T ISRAELSEN (NPI# 1093961179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093961179 |
| Entity Type | Individual |
| Full Name | STANFORD T ISRAELSEN |
| Credential | MD |
| Practice Address |
508 Stocktrail Ave Suite A Gillette WY 82716-3582 |
| Practice Telephone | 3076861413 |
| Mailing Telephone | 3076861413 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2014-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 9750A | WY | Allopathic & Osteopathic Physicians |
| Street Address |
508 STOCKTRAIL AVE SUITE A |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335533 | Powder River Orthopedics & Spine PC | Orthopaedic Surgery | 508 Stocktrail Ave, Ste A, Gillette, WY 82716-3582 | 2005-09-02 |
| 1508380049 | Brittney C Barelman | Occupational Therapist | 508 Stocktrail Ave, Gillette, WY 82716-3582 | 2017-07-26 |
| 1508311085 | David Alden Boedeker | Physician Assistant | 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 | 2016-08-24 |
| 1205165727 | Bone & Joint Radiology, LLC | Clinic/Center | 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 | 2009-12-11 |
| 1316932783 | Gerald L Baker | Orthopaedic Surgery | 508 Stocktrail Ave, Ste A, Gillette, WY 82716-3582 | 2005-09-13 |
| 1427042936 | Nathan S Simpson | Orthopaedic Surgery | 508 Stocktrail Ave, Ste A, Gillette, WY 82716-3554 | 2005-09-12 |
| 1740274265 | Hans C Kioschos | Orthopaedic Surgery | 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 | 2005-09-12 |
| 1639163702 | John P Dunn | Orthopaedic Surgery | 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 | 2005-09-06 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508823964 | Joseph Forrest Allegretto | Orthopaedic Surgery | 2901 Powder Basin Ave, Gillette, WY 82718-6406 | 2006-04-28 |
| 1962497958 | Monica L Morman | Orthopaedic Surgery | 2201 S Douglas Hwy Ste 120, Gillette, WY 82718-5408 | 2005-09-15 |
| 1356335533 | Powder River Orthopedics & Spine PC | Orthopaedic Surgery | 508 Stocktrail Ave, Ste A, Gillette, WY 82716-3582 | 2005-09-02 |
| 1538644679 | Black Hills Orthopedic & Spine Center of Wyoming PC | Orthopaedic Surgery | 2201 S Douglas Hwy Ste 120, Gillette, WY 82718-5408 | 2018-09-25 |
| 1164865796 | Sandra Susanne Gebhart | Orthopaedic Surgery | 2901 Powder Basin Ave, Gillette, WY 82718-6406 | 2013-04-13 |
| 1386875193 | Campbell County Hospital District | Orthopaedic Surgery | 501 S Burma Ave, Suite 3500, Gillette, WY 82716-3426 | 2009-07-29 |
| 1225264344 | Robert Grunfeld | Orthopaedic Surgery | 2201 S Douglas Hwy Ste 120, Gillette, WY 82718-5408 | 2009-06-03 |
| 1316932783 | Gerald L Baker | Orthopaedic Surgery | 508 Stocktrail Ave, Ste A, Gillette, WY 82716-3582 | 2005-09-13 |
| 1427042936 | Nathan S Simpson | Orthopaedic Surgery | 508 Stocktrail Ave, Ste A, Gillette, WY 82716-3554 | 2005-09-12 |
| 1740274265 | Hans C Kioschos | Orthopaedic Surgery | 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 | 2005-09-12 |
| Find all providers in GILLETTE | ||||
Please comment or provide details below to improve the information on STANFORD T ISRAELSEN.
| 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.