MR. ANDREW MARCARELLI (NPI# 1285087684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285087684 |
| Entity Type | Individual |
| Full Name | MR. ANDREW MARCARELLI |
| Practice Address |
29 Black Coal Dr Ft Washakie WY 82514 |
| Mailing Address |
696 Canyon St Lander WY 82520-3230 |
| Practice Telephone | 3073327300 |
| Mailing Telephone | 7144754227 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 365673 | CO | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
29 BLACK COAL DR |
| City | FT WASHAKIE |
| State | WY |
| Zip Code | 82514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527819 | Melissa Rose Pine | Registered Nurse | 29 Blackcole Road, Fort Washakie, WY 82514 | 2019-09-19 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
| 1033553185 | Pauline Elizabeth Powers-peprah | Family Medicine | 29 Black Cole, Fort Washakie, WY 82514 | 2013-04-19 |
| 1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
| 1770898140 | Kelly Lynne Pretty Weasel | Clinic/Center | 29 Blackcole Dr, Fort Washakie, WY 82514 | 2010-08-10 |
| 1285950170 | Debra Kay Waters | Technician, Pathology | Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 | 2010-04-16 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1922339449 | Nina Williams | Spec/Tech, Pathology | Black Coal Rd Bldg 29, Ft Washakie, WY 82514 | 2010-01-22 |
| Find all providers in zip 82514 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487111951 | Kelsi Roth | Radiologic Technologist | 1323 Holmes Ave, Sheridan, WY 82801-2230 | 2019-02-20 |
| 1598158719 | Melba Lee | Radiologic Technologist | 29 Black Coal Road, Fort Washakie, WY 82514 | 2015-03-12 |
| 1821425026 | Shelby Zentner | Radiologic Technologist | 14 Great Plains Road, Arapahoe, WY 82510 | 2013-10-02 |
| 1962749572 | Courtnie Stringham | Radiologic Technologist | Black Coal Rd Bldg 29, Fort Washakie, WY 82514-0128 | 2013-01-16 |
| 1366774101 | Robin Nicole Neubauer | Radiologic Technologist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2010-02-04 |
| 1245427988 | Thomas Glen Asay | Radiologic Technologist | 777 Avenue H, Powell, WY 82435-2260 | 2007-09-26 |
| 1558585737 | Gem City Bone & Joint | Radiologic Technologist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2007-04-12 |
| 1235274523 | Western Medical Associates, L.L.C. Diagnostics and Imaging | Radiologic Technologist | 6500 E 2nd St, Suite 100, Casper, WY 82609-4321 | 2007-02-21 |
| 1649326687 | Castle Rock Special Hospital District | Radiologic Technologist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2007-01-25 |
| 1710097647 | Valley Xray LLC | Radiologic Technologist | 124 Petersen Parkway, 124 Petersen Parkway Suite 2, Thayne, WY 83127 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | FT WASHAKIE |
| Zip Code | 82514 |
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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.