ROCKY MOUNTAIN VEIN CLINIC, P.C. (NPI# 1326089137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326089137 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN VEIN CLINIC, P.C. |
| Practice Address |
125 W Yellowstone Ave Cody WY 82414-8723 |
| Mailing Address |
2820 Central Ave Ste A Billings MT 59102-8624 |
| Practice Telephone | 3075277129 |
| Practice Fax Number | 3075877394 |
| Mailing Telephone | 4068962447 |
| Mailing Fax Number | 4068962491 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | JAMES L JOHNSON II (PRESIDENT) |
| Authorized Official Telephone | 3075277129 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
6172A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 123009300 | 05 |
| Street Address |
125 W YELLOWSTONE AVE |
| City | CODY |
| State | WY |
| Zip Code | 82414-8723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215926985 | James L Johnson II | Surgery | 125 W Yellowstone Ave, Cody, WY 82414-8723 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306819974 | William S Evans | Surgery | 424 Yellowstone Ave, Ste 2d, Cody, WY 82414 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104204361 | University of Utah Adult Services | Surgery | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-08 |
| 1659458008 | Cheyenne Regional Physicians Group, LLC | Surgery | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2006-11-01 |
| 1295796050 | Vein Treatment Center A Limited Liability Company | Surgery | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-31 |
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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.