CAPITAL RADIOLOGY PLLC (NPI# 1265569586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265569586 |
| Entity Type | Organization |
| Organization Name | CAPITAL RADIOLOGY PLLC |
| Other Organization Name | BIG HORN RADIOLOGY |
| Practice Address |
1401 W 5th St Sheridan WY 82801-2705 |
| Mailing Address |
Po Box 688 Sheridan WY 82801-0688 |
| Practice Telephone | 3076721048 |
| Practice Fax Number | 3076746887 |
| Mailing Telephone | 3076746884 |
| Mailing Fax Number | 3076746887 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | DR. DANIEL ROBERT ALZHEIMER (MANAGING MEMBER) |
| Authorized Official Telephone | 3076721048 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Big Horn Radiology | Doing Business As Name - Organization |
| Street Address |
1401 W 5TH ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134438 | Daniel Robert Alzheimer | Radiology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2005-06-15 |
| 1437621729 | Clay Smith Md PC | Emergency Medicine | 1401 W 5th St, Sheridan, WY 82801-2705 | 2018-12-26 |
| 1710419445 | Big Horn Anesthesia Associates LLC | Anesthesiology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2017-03-31 |
| 1114396892 | Laci Little | Nurse Practitioner | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-09-23 |
| 1730562372 | Watt Dialysis Center LLC | Clinic/Center | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-07-01 |
| 1003294224 | Rocky Mountain Holdings, LLC | Ambulance | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-05-07 |
| 1336539857 | Kelly Ann Thomas | Nurse Practitioner | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-02-04 |
| 1356744890 | Kenneth Chandler Mckenzie | Physician Assistant | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-09-29 |
| 1407265515 | Amanda Mcintire | Clinical Nurse Specialist | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-08-04 |
| 1720499163 | Erik Charles Smith | Emergency Medicine | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134438 | Daniel Robert Alzheimer | Radiology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2005-06-15 |
| 1447423322 | William Byron Taylor IIi | Radiology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720008 | Mcginley Medical, PC | Radiology | 2435 King Blvd Ste 233, Casper, WY 82604-3166 | 2020-08-13 |
| 1528491651 | John Robert Sty | Radiology | 534 Lytle Creek Rd, Devils Tower, WY 82714-0033 | 2013-08-13 |
| 1144519745 | Burke Morin | Radiology | 419 S Washington St Ste 101, Casper, WY 82601-2951 | 2011-04-04 |
| 1144529256 | Radiology Interpretation Services Inc | Radiology | 120 N Bent St, Powell, WY 82435-2712 | 2011-03-15 |
| 1619287414 | Stanford B Trachtenberg | Radiology | 3680 Lake Creek Drive, Wilson, WY 83014 | 2010-10-14 |
| 1962690453 | Joseph C. Mcginley | Radiology | 234 E 1st St, Casper, WY 82601-2516 | 2007-10-09 |
| 1952340200 | Lawrence A Blinn | Radiology | 295 Garfield St, Lander, WY 82520-3121 | 2006-06-05 |
| 1013985134 | John A. Sullivan | Radiology | 7330 Ryegrass Road, Jackson, WY 83001 | 2006-03-14 |
| 1649247909 | Steven Ray Horn | Radiology | 419 South Washington Street, Suite 101, Casper, WY 82601 | 2006-03-07 |
| 1508830225 | Katharine A Yoler | Radiology | 715 Snow King Dr, Jackson, WY 83001-8301 | 2006-02-17 |
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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.