JOANIE MARIE DEATRICH (NPI# 1346336500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346336500 |
Entity Type | Individual |
Full Name | JOANIE MARIE DEATRICH |
Credential | DO |
Practice Address |
2360 E Pershing Blvd Cheyenne WY 82001-5356 |
Mailing Address |
2818 Cherrystone Pl Fort Collins CO 80525-6607 |
Practice Telephone | 3077787555 |
Mailing Telephone | 9703103159 |
Mailing Fax Number | 3077787559 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
0055774 | CO | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2818 Cherrystone Pl, Fort Collins, CO 805256607 | 9703103159 |
Street Address |
2360 E PERSHING BLVD |
City | CHEYENNE |
State | WY |
Zip Code | 82001-5356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942207303 | Robert W Weinland | Nurse Practitioner | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2005-06-30 |
1437756244 | Kathryn Marie Marks | Dietitian, Registered | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-10-05 |
1720685753 | Cheyenne Vamc | Clinic/Center | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-10-02 |
1710593686 | Koltyn Barber | Recreation Therapist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-09-16 |
1780209189 | Lindsey Snyder | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-06-11 |
1750906194 | Patrick David Cuin | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-06-11 |
1821612458 | Victoria Guter Cronin | Social Worker | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-05-29 |
1104446905 | Aaron Mcdaniel | Internal Medicine | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-04-21 |
1043840614 | Kraig Martin Patriquin | Social Worker | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-01-22 |
1659914463 | Melissa Ann Baker | Respiratory Therapist, Registered | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2019-10-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
Find all providers in zip 82001 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003078148 | Kristine K Van Kirk | Family Medicine | 6015 Sycamore Rd, Cheyenne, WY 82009-4347 | 2008-06-30 |
1467417535 | Milford Eugene Thieszen | Family Medicine | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023078128 | Robert D. Langer | Family Medicine | 555 E. Broadway, Suite 108, Jackson, WY 83001 | 2006-03-24 |
1649573221 | Burke & Burke, Md, PC | Family Medicine | 940 E 3rd St, Suite # 202, Casper, WY 82601-3237 | 2010-12-21 |
1699838862 | Howard T Willson | Family Medicine | 388 South Us Hwy 20, Basin, WY 82410-8902 | 2006-12-19 |
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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.