RENDEZVOUS MEDICAL (NPI# 1366735466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366735466 |
| Entity Type | Organization |
| Organization Name | RENDEZVOUS MEDICAL |
| Practice Address |
1035 Rose Ln Suite B Riverton WY 82501-2286 |
| Practice Telephone | 3078560382 |
| Practice Fax Number | 3078560385 |
| Mailing Telephone | 3078560382 |
| Mailing Fax Number | 3078560385 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | JOHN W MERCER (PHYSICIAN OWNER) |
| Authorized Official Telephone | 3078560382 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770990426 | Rendezvous Medical | Clinic/Center | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2014-07-15 |
| Street Address |
1035 ROSE LN SUITE B |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-2286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083865554 | Riverton Physician Practices LLC | Internal Medicine | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2008-10-02 |
| 1912419623 | Lora Lea Koenig | Registered Nurse | 1035 Rose Ln, Riverton, WY 82501-2291 | 2017-11-03 |
| 1770990426 | Rendezvous Medical | Clinic/Center | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2014-07-15 |
| 1104065200 | Riverton Oncology Practice,llc | Internal Medicine | 1035 Rose Ln, Ste D, Riverton, WY 82501-2286 | 2009-02-12 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629430046 | Chadwick Miles Densley | Obstetrics & Gynecology | 12842 South 3600 West, Suite 200, Riverton, UT 84065 | 2016-03-24 |
| 1982965034 | Kristen Haas Black | Obstetrics & Gynecology | 3723 W 12600 S Ste 360, Riverton, UT 84065-7296 | 2012-06-05 |
| 1497016125 | Angela Dunn Judd | Obstetrics & Gynecology | 3723 W 12600 S Ste 350, Riverton, UT 84065-7296 | 2012-05-29 |
| 1497797260 | Maryanne A Hannaney | Obstetrics & Gynecology | 2300 Gasser Rd., Riverton, WY 82501 | 2006-06-13 |
| 1770544710 | Janet D'ann Frost | Obstetrics & Gynecology | 2002 W Sunset Dr Ste 2, Riverton, WY 82501-2285 | 2006-03-29 |
| 1265403463 | William Benjamin Warner | Obstetrics & Gynecology | 12391 S 4000 W, Riverton, UT 84096-7012 | 2006-01-27 |
| 1770929895 | Janet Benavidez Eddy | Obstetrics & Gynecology | 3723 W 12600 S Ste 350, Riverton, UT 84065-7296 | 2013-05-15 |
| 1871734426 | Ihc Health Services Inc | Obstetrics & Gynecology | 3723 W 12600 S, Ste 360, Riverton, UT 84065-7295 | 2009-03-11 |
| 1619159795 | Western Gynecological and Obstetrical Clinic, Inc. | Obstetrics & Gynecology | 3723 W 12600 S, Suite, 350, Riverton, UT 84065-7295 | 2007-11-30 |
| 1730389297 | Tricia Anne Twelves | Obstetrics & Gynecology | 12391 S 4000 W, Riverton, UT 84096-7012 | 2007-07-23 |
| Find all providers in RIVERTON | ||||
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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.