SMART SPORTS MEDICINE LLC (NPI# 1114408739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114408739 |
| Entity Type | Organization |
| Organization Name | SMART SPORTS MEDICINE LLC |
| Practice Address |
5307 Yellowstone Rd Cheyenne WY 82009-4736 |
| Practice Telephone | 3076327677 |
| Practice Fax Number | 3077788292 |
| Mailing Telephone | 3076327677 |
| Mailing Fax Number | 3077788292 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | DR. VINCENT J. ROSS (PRESIDENT) |
| Authorized Official Telephone | 3076327677 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
3871A | WY | Allopathic & Osteopathic Physicians |
| Street Address |
5307 YELLOWSTONE RD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912964487 | Frances L Price | Psychologist | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2006-04-28 |
| 1982934931 | Pete M. Kuhn Md PC | Orthopaedic Surgery | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2010-01-13 |
| 1184872889 | Tracy A Farrell | Physical Therapist | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2008-09-05 |
| 1467671586 | Todd M Moser | Physical Therapy Assistant | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2007-04-25 |
| 1093934218 | Brenda K Beckman | Specialist/Technologist | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2007-04-25 |
| 1043438484 | Todd Charles Nalder | Specialist/Technologist | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2007-04-23 |
| 1376690214 | Smart Sports Medicine Clinic PC | Physical Therapist | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2007-01-04 |
| 1053494948 | Thomas James Bledsoe | Physical Therapist | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2006-10-23 |
| 1093898991 | Lisa Leanne Gentzler | Physical Therapist | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2006-10-23 |
| 1457360265 | Michael Pete Kuhn | Orthopaedic Surgery | 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288991 | Morgan Espino | Physical Medicine & Rehabilitation | 1102 W Spruce St, Rawlins, WY 82301-5335 | 2019-11-06 |
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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.