SWEETWATER PEDIATRICS P.C. (NPI# 1215135025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215135025 |
| Entity Type | Organization |
| Organization Name | SWEETWATER PEDIATRICS P.C. |
| Practice Address |
1204 Hilltop Dr Suite#106 Rock Springs WY 82901-5861 |
| Practice Telephone | 3073625500 |
| Practice Fax Number | 3073620300 |
| Mailing Telephone | 3073625500 |
| Mailing Fax Number | 3073620300 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHANDRASHEKAR YESHLUR (PRESIDENT) |
| Authorized Official Telephone | 3073625500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
6946A | WY | Ambulatory Health Care Facilities |
| Street Address |
1204 HILLTOP DR SUITE#106 |
| City | ROCK SPRINGS |
| State | WY |
| Zip Code | 82901-5861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065133 | Chandrashekar Yeshlur | Pediatrics | 1204 Hilltop Dr, Suite # 106, Rock Springs, WY 82901-5861 | 2005-06-29 |
| 1437323334 | Joseph J. Oliver Md,pc | Durable Medical Equipment & Medical Supplies | 1204 Hilltop Dr, Suite 103, Rock Springs, WY 82901-5861 | 2008-04-22 |
| 1619093879 | Kerry Lee Mckenzie | Physician Assistant | 1204 Hilltop Dr, Suite 108, Rock Springs, WY 82901-5861 | 2007-03-21 |
| 1962544742 | Applegate Family Practice Clinic LLC | Family Medicine | 1204 Hilltop Dr, 111, Rock Springs, WY 82901-5861 | 2007-02-12 |
| 1598854671 | Mohammed Majeed | Internal Medicine | 1204 Hilltop Dr, Suite 108, Rock Springs, WY 82901-5861 | 2006-10-12 |
| 1962441618 | Chris S Moser | Family Medicine | 1204 Hilltop Dr, Suite 108, Rock Springs, WY 82901-5861 | 2006-06-06 |
| 1093709404 | Ludwig F Kroner IIi | Specialist | 1204 Hilltop Dr, Rock Springs, WY 82901-5861 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094043 | Carol Mary Iverson | Naturopath | 120 Winston Dr., Ste. 101, Rock Springs, WY 82901 | 2020-02-12 |
| 1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
| 1588149181 | Ali Pendleton | Case Manager/Care Coordinator | 79 Winston #235, Rock Springs, WY 82901 | 2018-09-28 |
| 1982142014 | Tammy Fausett | Speech-Language Pathologist | 1105 Applewood Drive, Rock Springs, WY 82901 | 2017-02-09 |
| 1649713983 | Lori Lee Cunningham | Case Manager/Care Coordinator | 325 Archers Trl, Rock Springs, WY 82901 | 2016-11-18 |
| 1841664505 | Theresa Morrison | Case Manager/Care Coordinator | 308 Peak Road, Rock Springs, WY 82901 | 2015-11-18 |
| 1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
| 1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
| 1114201845 | Cowboy Urgent Care, Inc | General Practice | 1453-a Dewar Drive, Rock Springs, WY 82901 | 2011-09-29 |
| 1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
| Find all providers in zip 82901 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084515 | Sterling Provider Group | Clinic/Center | 2761 Commercial Way, Rock Springs, WY 82901-4753 | 2020-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205382819 | Stagecoach Health PC | Clinic/Center | 511 Osborne St., Baggs, WY 82321 | 2016-09-01 |
| 1316383888 | Frontier Family Practice LLC | Clinic/Center | 1123 Big Horn Ave, Worland, WY 82401-2802 | 2013-05-10 |
| 1750726212 | High Desert Healthcare LLC | Clinic/Center | 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718 | 2013-05-09 |
| 1730477266 | Cowboy Urgent Care, Inc | Clinic/Center | 519 8th Street, Rawlins, WY 82301 | 2011-07-19 |
| 1164650719 | Rocky Mountain Family Medicine LLC | Clinic/Center | 5840 E 2nd St. Suite 200, Casper, WY 82601 | 2009-06-22 |
| 1639359045 | Sunrise Chiropractic Inc | Clinic/Center | 1439 Stillwater Ave Ste 5, Cheyenne, WY 82009-7367 | 2007-11-14 |
| 1396801908 | Healing Element Chiropractic LLC | Clinic/Center | 621 N 10th St E, Riverton, WY 82501-2906 | 2006-12-28 |
| 1265521363 | Medcor of Barrington, PC | Clinic/Center | One Mammoth Hot Springs, Yellowstone Nat'l Park, Mammoth, WY 82190 | 2006-10-12 |
| 1811925423 | Bhs Physician Services - Torrington | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2006-06-30 |
| 1235170705 | St. Vincent Healthcare | Clinic/Center | 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 | 2006-06-08 |
| Find all providers with the same taxonomy | ||||
| City | ROCK SPRINGS |
| Zip Code | 82901 |
Please comment or provide details below to improve the information on SWEETWATER PEDIATRICS P.C..
| 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.