TETON SPORTS & SPINE IMAGING, LLC (NPI# 1427574987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427574987 |
| Entity Type | Organization |
| Organization Name | TETON SPORTS & SPINE IMAGING, LLC |
| Practice Address |
250 Scott Ln Ste 110 Jackson WY 83001-8060 |
| Mailing Address |
Po Box 3083 Idaho Falls ID 83403-3083 |
| Practice Telephone | 3072015380 |
| Mailing Telephone | 8003385378 |
| Mailing Fax Number | 2085238978 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | SHAUN ANDRIKOPOULOS (MANAGER/PARTNER) |
| Authorized Official Telephone | 3072015380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1427574987 | 05 |
| Street Address |
250 SCOTT LN STE 110 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942555131 | Jersey Advanced Mri and Diagnostic Center | Clinic/Center | 1 Kathleen Dr, Suite 4, Jackson, NJ 08527-2276 | 2012-07-13 |
| 1154490233 | Teton Mri | Clinic/Center | 625 E Broadway, Jackson, WY 83001 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568721553 | Phi Health, LLC | Clinic/Center | 2405 E Grand Ave, Suite D, Box 136, Laramie, WY 82070-5206 | 2012-05-10 |
| 1124207345 | Fremont Radiology PC | Clinic/Center | 2102 W Sunset Dr, Riverton, WY 82501 | 2007-10-25 |
| 1366936270 | Casper Orthopedic Associates PC | Clinic/Center | 4140 Centennial Hills Blvd Ste A, Casper, WY 82609-3265 | 2018-06-15 |
| 1205165727 | Bone & Joint Radiology, LLC | Clinic/Center | 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 | 2009-12-11 |
| 1477641272 | Wyoming Imaging Center | Clinic/Center | 231 S Washington St, Casper, WY 82601-2948 | 2006-10-10 |
Please comment or provide details below to improve the information on TETON SPORTS & SPINE IMAGING, LLC.
| 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.