DR. MARK P MENOLASCINO (NPI# 1467566117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467566117 |
| Entity Type | Individual |
| Full Name | DR. MARK P MENOLASCINO |
| Credential | MD |
| Practice Address |
5235 Hhr Ranch Road Wilson WY 83014-0000 |
| Mailing Address |
Po Box 4816 Jackson WY 83001-4816 |
| Practice Telephone | 3077321039 |
| Mailing Telephone | 3077321039 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2016-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 6730A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 118685000 | 05 |
| Street Address |
5235 HHR RANCH ROAD |
| City | WILSON |
| State | WY |
| Zip Code | 83014-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801051487 | Greater Yellowstone Imaging | Clinic/Center | 5235 Hhr Ranch Road, Wilson, WY 83014 | 2008-07-23 |
| 1972781524 | Mark P Menolascino Md PC | Internal Medicine | 5235 Hhr Ranch Road, Wilson, WY 83014 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1578121588 | Nina Clark Lex | Physical Therapist | 1230 N Fall Creek Rd, Wilson, WY 83014 | 2019-06-04 |
| 1659840403 | Hannah Lee Tripp | Dietitian, Registered | 1440 N West St., Wilson, WY 83014 | 2018-11-21 |
| 1902307952 | Joseph Anthony Sorge | Medical Genetics | 5320 Pine Meadow Road, Wilson, WY 83014 | 2018-02-26 |
| 1184174393 | Dean Woodmencey | Specialist | 4030 West Lake Creek Dr., Wilson, WY 83014 | 2016-10-12 |
| 1740657261 | Peter Moffatt | Counselor | 7905 South Fall Creek Road, Wilson, WY 83014 | 2015-09-01 |
| 1669722419 | Jeremy Silcox | Social Worker | 7905 Fall Creek Rd., Wilson, WY 83014 | 2012-09-19 |
| 1649533811 | Harriet Elizabeth Wardle | Social Worker | 3850 N Wilderness Dr, Wilson, WY 83014 | 2012-06-21 |
| 1205197043 | Laura Lea Perez | Psychologist | 3850 North Wilderness Dr., Wilson, WY 83014 | 2012-06-07 |
| 1306105689 | William Douglas Odell | Specialist | 5445 Cottonwood Canyon Road, Wilson, WY 83014 | 2012-05-08 |
| Find all providers in zip 83014 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356682579 | John Louis Gentri | Internal Medicine | Long Leaf Neuro Medical Treatment Center, 4767 Ward Boulevard, Wilson, NC 27893 | 2013-03-13 |
| 1982860367 | David Kiragu | Internal Medicine | 3202 Nash Street N, Wilson, NC 27896-1232 | 2008-08-05 |
| 1457529703 | Jonathon G. Dewald, Md Pa | Internal Medicine | 2605 Forest Hills Rd Sw Ste B, Wilson, NC 27893-4448 | 2008-02-20 |
| 1386862688 | Wilson Internal Medicine Pa | Internal Medicine | 2402 Camden St Sw Ste B500, Wilson, NC 27893-8608 | 2007-04-23 |
| 1447364245 | Michael James Menolascino | Internal Medicine | 5245 Hhr Ranch Road, Wilson, WY 83014-9210 | 2006-08-18 |
| 1720033574 | Lindsey Elliot Deguehery | Internal Medicine | 1812 Glendale Dr Sw, Suite A, Wilson, NC 27893-4402 | 2006-05-23 |
| 1437116613 | Douglas C Brewer | Internal Medicine | 1704 Glendale Dr Sw, Suite B, Wilson, NC 27893-4415 | 2006-04-30 |
| 1598726812 | Thomas E Hooper | Internal Medicine | 2130 Forest Hills Rd W, Ste B, Wilson, NC 27893-3681 | 2006-03-28 |
| 1275508830 | Medhat F Sidaros | Internal Medicine | 2402 Camden St Sw, Suite B 500, Wilson, NC 27893-8608 | 2006-02-17 |
| 1649250929 | Christine A Barton | Internal Medicine | 200 Glendale Dr, Wilson, NC 27893 | 2006-01-20 |
| Find all providers in WILSON | ||||
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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.