PAULJORDANWASHBURNMD, LLC. (NPI# 1114452166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114452166 |
| Entity Type | Organization |
| Organization Name | PAULJORDANWASHBURNMD, LLC. |
| Practice Address |
5720 Osage Ave 3-301 Cheyenne WY 82009-3948 |
| Practice Telephone | 9705189394 |
| Mailing Telephone | 9705189394 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | DR. PAUL JORDAN WASHBURN (OWN, PHYSICIAN) |
| Authorized Official Telephone | 9705189394 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
10738A | WY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PAULJORDANWASHBURNMD, LLC. | 611 E Carlson St Ste 117, Cheyenne, WY 82009-4335 |
| Street Address |
5720 OSAGE AVE 3-301 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-3948 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205333721 | Veronica Pedersen, Lcsw, LLC | Clinic/Center | 3712 Snyder Ave, Cheyenne, WY 82001-1163 | 2018-04-11 |
| 1447661319 | Healthworks Med Group of Wyoming P C | Clinic/Center | 2723 Christensen Rd, Cheyenne, WY 82007-9662 | 2014-05-14 |
| 1912487208 | Thrive Counseling Services, LLC | Clinic/Center | 1401 Airport Pkwy Ste 210b, Cheyenne, WY 82001-1541 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073516 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St Ste B100, Wheatland, WY 82201-3201 | 2020-11-06 |
| 1528678786 | Banner Health Physicians West LLC | Clinic/Center | 2300 Gasser Rd, Riverton, WY 82501-2204 | 2020-08-03 |
| 1568927127 | Hope and Guidance LLC | Clinic/Center | 78 North St, Laramie, WY 82072-9579 | 2019-02-07 |
| 1902399389 | Serenity Counseling & Mental Health Services | Clinic/Center | 747 Patches, Carpenter, WY 82054-9403 | 2018-06-11 |
| 1235620204 | Graves and Associates LLC | Clinic/Center | 2020 E Grand Ave Ste 429, Laramie, WY 82070-4380 | 2018-05-24 |
| 1639617145 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-02-03 |
| 1275913105 | Banner Health Physicians West LLC | Clinic/Center | 1 E Whalen Street, Guernsey, WY 82214 | 2015-06-05 |
| 1134353998 | Ihc Health Services Inc | Clinic/Center | 702 Onyx St, Kemmerer, WY 83101-0000 | 2009-05-08 |
| 1104854710 | Wmc Clinic | Clinic/Center | 1405 Howell Ave, Worland, WY 82401-4127 | 2006-06-30 |
| 1669410643 | Community Hospital | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2006-06-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PAULJORDANWASHBURNMD, LLC..
| 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.