WESTERN WYOMING MEDICAL LLC (NPI# 1235770249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235770249 |
| Entity Type | Organization |
| Organization Name | WESTERN WYOMING MEDICAL LLC |
| Practice Address |
535 E Main St Lander WY 82520-3410 |
| Mailing Address |
1521 Hillcrest Dr Lander WY 82520-9776 |
| Practice Telephone | 3183727510 |
| Mailing Telephone | 3183727510 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | MR. ROBERT ALAN DAUGHERTY (MANAGER/OWNER) |
| Authorized Official Telephone | 3183727510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
535 E MAIN ST |
| City | LANDER |
| State | WY |
| Zip Code | 82520-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730203613 | Kathleen Ann Petro | Nurse Practitioner | 535 E Main St, Lander, WY 82520-3470 | 2007-03-18 |
| 1922643097 | Western Wyoming Medical Clinics LLC | Clinic/Center | 535 E Main St, Lander, WY 82520-3410 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457548711 | Lander Valley Ambulatory Surgery Center LLC | Clinic/Center | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-10-01 |
| 1427183664 | Lagreca Eye Clinic, P.C. | Clinic/Center | 1150 Main St, Lander, WY 82520-2620 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783335 | Advanced Surgical Care of Wyoming, LLC | Clinic/Center | 51 Town Center Dr Ste 140, Gillette, WY 82718-5521 | 2020-09-01 |
| 1063040731 | Powder River Surgery Center | Clinic/Center | 906 W 6th St Ste C, Gillette, WY 82716-3435 | 2020-03-30 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1649725532 | Campbell County Hospital District | Clinic/Center | 906 W 6th St, Gillette, WY 82716-3435 | 2016-08-20 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1811289218 | Fsc LLC | Clinic/Center | 1503 Cressett St, Gillette, WY 82716-3339 | 2011-05-04 |
| 1033342563 | Thomas E. Spicer, Md, PC | Clinic/Center | 1208 Hilltop Dr Ste 103, Rock Springs, WY 82901-5858 | 2009-09-01 |
| 1700042942 | Center for Surgical Excellence Inc | Clinic/Center | 1402 W. 4th Street, Gillette, WY 82716-3328 | 2008-08-06 |
| 1730191651 | Cheyenne Surgical Center LLC | Clinic/Center | 2301 House Ave Suite 200, Cheyenne, WY 82001 | 2006-08-12 |
| 1306826177 | Northern Wyoming Surgical Center | Clinic/Center | 732 Lindsay Ln, Cody, WY 82414-4103 | 2006-01-18 |
| Find all providers with the same taxonomy | ||||
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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.