RIVERTON PHYSICIAN PRACTICES LLC (NPI# 1326377920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326377920 |
Entity Type | Organization |
Organization Name | RIVERTON PHYSICIAN PRACTICES LLC |
Other Organization Name | TOTAL FOOT CARE & SURGERY |
Practice Address |
2002 W Sunset Dr Suite 2 Riverton WY 82501-2283 |
Practice Telephone | 3078575280 |
Practice Fax Number | 3078575215 |
Mailing Telephone | 3078575280 |
Mailing Fax Number | 3078575215 |
Enumeration Date | 2009-12-10 |
Last Update Date | 2010-11-10 |
Authorized Official Name | MR. JESS N JUDY (PRESIDENT) |
Authorized Official Telephone | 6153728500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 1518118017 | 05 |
Other Name | Type Code |
---|---|
Total Foot Care & Surgery | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083865554 | Riverton Physician Practices LLC | Internal Medicine | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2008-10-02 |
1619236791 | Riverton Physician Practices LLC | Internal Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2012-05-10 |
1669702163 | Riverton Physician Practices LLC | Psychiatry & Neurology | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2010-01-05 |
1174858302 | Riverton Physician Practices LLC | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2009-10-06 |
1497982805 | Riverton Physician Practices LLC | Orthopaedic Surgery | 1005 College View Dr, Suite 9, Riverton, WY 82501-2266 | 2009-06-12 |
Street Address |
2002 W SUNSET DR SUITE 2 |
City | RIVERTON |
State | WY |
Zip Code | 82501-2283 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659369650 | Jerry S Jarrard | Emergency Medicine | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2005-10-12 |
1467801340 | Thad Justin Willis | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2016-06-10 |
1932585742 | Jeffrey Alcorn | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2015-08-04 |
1043691835 | Zachary Olivarez | Specialist/Technologist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2015-06-17 |
1730598830 | Thomas Davis | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2014-08-04 |
1639588734 | Katherine Quayle | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2014-08-04 |
1407102585 | Kelly Carpenter | Physical Therapy Assistant | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2012-07-26 |
1326393794 | Whittney K Gomendi-smith | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2012-07-20 |
1669702163 | Riverton Physician Practices LLC | Psychiatry & Neurology | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2010-01-05 |
1922158708 | Advanced Ent and Sinus Center of Wyoming PC | Otolaryngology | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2007-01-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
Find all providers in zip 82501 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295868727 | David A Duckwitz | Podiatrist | 2631 Foothill Blvd, Suite C, Rock Springs, WY 82901-4771 | 2007-03-13 |
1861631871 | Foot Doctor PC | Podiatrist | 2233 E 2nd St, Casper, WY 82609-2050 | 2009-02-13 |
1184785107 | John H Nelson | Podiatrist | 1916 E 1st St, Casper, WY 82601-2777 | 2006-12-13 |
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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.