CHEYENNE MEDICAL SPECIALISTS PC (NPI# 1356325278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356325278 |
Entity Type | Organization |
Organization Name | CHEYENNE MEDICAL SPECIALISTS PC |
Practice Address |
5050 Powderhouse Rd Cheyenne WY 82009 |
Practice Telephone | 3077728226 |
Practice Fax Number | 3076341271 |
Mailing Telephone | 3077728226 |
Mailing Fax Number | 3076341271 |
Enumeration Date | 2005-12-05 |
Last Update Date | 2007-12-28 |
Authorized Official Name | ROBERT MATTHEW MONGER (PARTNER OWNER) |
Authorized Official Telephone | 3077728226 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 1095 | 01 | |
CLIA | 5300519664 | 01 |
Street Address |
5050 POWDERHOUSE RD |
City | CHEYENNE |
State | WY |
Zip Code | 82009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316920549 | Reed Clifton Shafer | Psychiatry & Neurology | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2005-11-22 |
1225641442 | Poudre Valley Medical Group, LLC | Internal Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-08-27 |
1174136394 | Poudre Valley Medical Group, LLC | Internal Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-08-27 |
1013520345 | Poudre Valley Medical Group, LLC | Family Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-08-26 |
1346864790 | Poudre Valley Medical Group, LLC | Pain Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-06-02 |
1952923971 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-05-13 |
1063031680 | Poudre Valley Medical Group, LLC | Internal Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-04-14 |
1518586114 | Poudre Valley Medical Group, LLC | Internal Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-04-14 |
1255771259 | Megan Marie Auer | Registered Nurse | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2013-07-05 |
1710110457 | Ambrish M Patel | Physician Assistant | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2009-08-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
Find all providers in zip 82009 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891710547 | Mark Edward Howshar | Radiology | 2003 Bluegrass Cir, Cheyenne, WY 82009-7329 | 2006-07-13 |
1386639797 | Cheyenne Orthopaedics, PC | Radiology | 2301 House Ave, Ste 505, Cheyenne, WY 82001-3179 | 2005-09-13 |
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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.