TATUM-MERE HEALTH AND COMMUNITY SERVICES INC. (NPI# 1265726871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265726871 |
| Entity Type | Organization |
| Organization Name | TATUM-MERE HEALTH AND COMMUNITY SERVICES INC. |
| Other Organization Name | SOUTHWEST PAIN MANAGEMENT |
| Practice Address |
1200 College Dr Rock Springs WY 82901-5868 |
| Mailing Address |
Po Box 2778 Rock Springs WY 82902-2778 |
| Practice Telephone | 3073528329 |
| Mailing Telephone | 3073621444 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | DR. BRANDON VASHON MACK (PRESIDENT) |
| Authorized Official Telephone | 3073621444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
7706A | WY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southwest Pain Management | Doing Business As Name - Organization |
| Street Address |
1200 COLLEGE DR |
| City | ROCK SPRINGS |
| State | WY |
| Zip Code | 82901-5868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376537845 | Cielette M Karn | Pathology | 1200 College Dr, Rock Springs, WY 82901-5868 | 2005-09-09 |
| 1730659566 | Shauna Lyn Erramouspe | Dietitian, Registered | 1200 College Dr, Rock Springs, WY 82901-5868 | 2018-12-05 |
| 1134627227 | Alisha Mackie | Registered Nurse | 1200 College Dr, Rock Springs, WY 82901-5868 | 2018-01-24 |
| 1356896773 | Josefina Ibarra | Dietitian, Registered | 1200 College Dr, Rock Springs, WY 82901-5868 | 2016-08-16 |
| 1063866085 | Alicia M Gray | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2016-04-15 |
| 1750769634 | University of Utah Adult Services | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-12 |
| 1487032363 | University of Utah Adult Services | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-12 |
| 1104204361 | University of Utah Adult Services | Surgery | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-08 |
| 1164800314 | University of Utah Adult Services | Emergency Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-08 |
| 1821475450 | University of Utah Adult Services | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-04 |
| Find all providers in the same location | ||||
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383822 | Jed Shay | Anesthesiology | 2620 Commercial Way Ste 20, Rock Springs, WY 82901-4705 | 2005-08-16 |
| 1902180532 | Southwest Pain Management Inc | Anesthesiology | 1200 College Dr, Rock Springs, WY 82901-5868 | 2011-09-30 |
| 1023398906 | Pain Care Center, LLC | Anesthesiology | 2620 Commercial Way Ste 20, Rock Springs, WY 82901-4705 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378164 | Harlan Robert Ribnik | Anesthesiology | 4136 Laramie St, Suite A, Cheyenne, WY 82001-1969 | 2005-06-30 |
| 1437156809 | Pain Consultants of The Rockies, PC | Anesthesiology | 903 S Greeley Hwy, Suite A, Cheyenne, WY 82007-3057 | 2005-06-30 |
| 1962937441 | Pain Care Center LLC | Anesthesiology | 170 Arrowhead Dr, Suite 2, Evanston, WY 82930-9307 | 2017-04-21 |
| 1528270782 | Rocky Mountain Pain Management LLC | Anesthesiology | 419 S Washington St, Ste 201, Casper, WY 82601-2951 | 2007-05-03 |
| City | ROCK SPRINGS |
| Zip Code | 82901 |
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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.