MRS. SARAH RENEE ELDREDGE (NPI# 1396211355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396211355 |
| Entity Type | Individual |
| Full Name | MRS. SARAH RENEE ELDREDGE |
| Other Name | SARAH RENEE GREDER |
| Credential | PA-C |
| Practice Address |
2620 Commercial Way Ste 140 Rock Springs WY 82901-4750 |
| Mailing Address |
517 W 100 N Ste 210 Providence UT 84332-9826 |
| Practice Telephone | 3072125116 |
| Mailing Telephone | 4357556061 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA794 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 Yellow Creek Rd Ste 102, Evanston, WY 829305205 | 4357556061 | 3077898975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407973746 | Sarah M Eldredge | Specialist | 360 N Main St Ste 9, Southington, CT 06489-2503 | 2007-03-23 |
| 1972134005 | Sarah Beth Eldredge | Physical Therapist | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-01-28 |
| Street Address |
2620 COMMERCIAL WAY STE 140 |
| City | ROCK SPRINGS |
| State | WY |
| Zip Code | 82901-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730407594 | Sweetwater County Chc, Inc | Clinic/Center | 2620 Commercial Way Ste 140, Rock Springs, WY 82901-4671 | 2010-05-04 |
| 1861036832 | Kailey Tarufelli | Registered Nurse | 2620 Commercial Way Ste 140, Rock Springs, WY 82901-4750 | 2019-11-03 |
| 1568829109 | Mandi E Lew | Advanced Practice Midwife | 2620 Commercial Way Ste 140, Rock Springs, WY 82901-4750 | 2016-01-27 |
| 1982069076 | Kid Wilk | Physician Assistant | 2620 Commercial Way Ste 140, Rock Springs, WY 82901-4750 | 2015-12-16 |
| 1265809024 | James D Sutton | Physician Assistant | 2620 Commercial Way Ste 140, Rock Springs, WY 82901-4750 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094043 | Carol Mary Iverson | Naturopath | 120 Winston Dr., Ste. 101, Rock Springs, WY 82901 | 2020-02-12 |
| 1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
| 1588149181 | Ali Pendleton | Case Manager/Care Coordinator | 79 Winston #235, Rock Springs, WY 82901 | 2018-09-28 |
| 1982142014 | Tammy Fausett | Speech-Language Pathologist | 1105 Applewood Drive, Rock Springs, WY 82901 | 2017-02-09 |
| 1649713983 | Lori Lee Cunningham | Case Manager/Care Coordinator | 325 Archers Trl, Rock Springs, WY 82901 | 2016-11-18 |
| 1841664505 | Theresa Morrison | Case Manager/Care Coordinator | 308 Peak Road, Rock Springs, WY 82901 | 2015-11-18 |
| 1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
| 1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
| 1114201845 | Cowboy Urgent Care, Inc | General Practice | 1453-a Dewar Drive, Rock Springs, WY 82901 | 2011-09-29 |
| 1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
| Find all providers in zip 82901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174006928 | Robert Walter Carpenter | Physician Assistant | 1208 Hilltop Dr Ste 203, Rock Springs, WY 82901-5859 | 2018-09-07 |
| 1134630064 | Randi Robinson | Physician Assistant | 2620 Commercial Way, Rock Springs, WY 82901 | 2017-10-18 |
| 1205345931 | Southwest Counseling Service | Physician Assistant | 2706 Ankeny Way, Rock Springs, WY 82901-5649 | 2017-09-26 |
| 1982069076 | Kid Wilk | Physician Assistant | 2620 Commercial Way Ste 140, Rock Springs, WY 82901-4750 | 2015-12-16 |
| 1265809024 | James D Sutton | Physician Assistant | 2620 Commercial Way Ste 140, Rock Springs, WY 82901-4750 | 2015-08-27 |
| 1548693989 | Brian C Barton | Physician Assistant | 3000 College Dr, Rock Springs, WY 82901-4202 | 2013-08-20 |
| 1649560764 | Paul Allen Egleston | Physician Assistant | 2761 Commercial Way, Rock Springs, WY 82901-4753 | 2011-04-11 |
| 1427232875 | Thomas Haigler Jr. | Physician Assistant | 2706 Ankeny Way, Rock Springs, WY 82901-5649 | 2007-12-20 |
| 1598955981 | Michael J. Vase II | Physician Assistant | 2751 Commercial Way, Rock Springs, WY 82901-4753 | 2007-07-31 |
| 1619093879 | Kerry Lee Mckenzie | Physician Assistant | 1204 Hilltop Dr, Suite 108, Rock Springs, WY 82901-5861 | 2007-03-21 |
| Find all providers in ROCK SPRINGS | ||||
| City | ROCK SPRINGS |
| Zip Code | 82901 |
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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.