DR. JOHN DAVID CRECCA (NPI# 1477657716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477657716 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID CRECCA |
| Credential | MD |
| Practice Address |
255 N 30th St Laramie WY 82072 |
| Mailing Address |
204 Mccollum Dr Suite 101 Laramie WY 82070-5151 |
| Practice Telephone | 3077422141 |
| Mailing Telephone | 3077456065 |
| Mailing Fax Number | 3077454936 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2010-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 5590A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 115250500 | 05 |
| Street Address |
255 N 30TH ST |
| City | LARAMIE |
| State | WY |
| Zip Code | 82072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679553986 | Tonja Marie Woods | Pharmacist | 255 N 30th St, Laramie, WY 82072-5140 | 2006-01-20 |
| 1699300525 | Sarah Kiana Haynes | Dietitian, Registered | 255 N 30th St, Laramie, WY 82072-5195 | 2020-03-11 |
| 1992336168 | Poudre Valley Medical Group, LLC | Internal Medicine | 255 N 30th St, Laramie, WY 82072-5140 | 2020-01-28 |
| 1962062638 | Thomas Richard Harold Witkop | Nurse Practitioner | 255 N 30th St, Laramie, WY 82072-5140 | 2019-06-16 |
| 1225598097 | Adrianne Kate Griebel | Dietitian, Registered | 255 N 30th St, Laramie, WY 82072-5140 | 2019-03-20 |
| 1467920512 | Elizabeth Morissette Rowe | Advanced Practice Midwife | 255 N 30th St, Laramie, WY 82072-5140 | 2018-11-07 |
| 1477049039 | Samuel Brauninger | Nurse Anesthetist, Certified Registered | 255 N 30th St, Laramie, WY 82072-5140 | 2018-07-07 |
| 1376042960 | Candace Mae Burch | Nurse Practitioner | 255 N 30th St, Laramie, WY 82072-5140 | 2018-02-08 |
| 1639698608 | Jason Lee Sondgeroth | Nurse Practitioner | 255 N 30th St, Laramie, WY 82072-5140 | 2017-09-11 |
| 1356722003 | Nathan Valencia Still | Internal Medicine | 255 N 30th St, Laramie, WY 82072 | 2015-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688924 | Colby Wolf | 16th & Gibbon, Department 3414, Laramie, WY 82072 | 2020-08-03 | |
| 1871947341 | Curran Quast | Case Manager/Care Coordinator | 1465 N 4th St Ste 111, Laramie, WY 82072 | 2016-04-20 |
| 1184030827 | David Hokanson | Dentist | 352 N. 4th Street, Laramie, WY 82072 | 2014-07-02 |
| 1356673297 | Aaron Lozano | Counselor | 1465 N. 4th Street #119, Laramie, WY 82072 | 2010-02-03 |
| 1407181092 | Maureen K. Johnson Inc | In Home Supportive Care | 2010 Reynolds H280, Laramie, WY 82072 | 2009-10-15 |
| 1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
| 1851410682 | Laramie Reproductive Health | Public Health or Welfare | 1252 N 22nd St Suite A, Laramie, WY 82072 | 2007-03-29 |
| 1942345327 | Fike Chiropractic Pain Relief | Chiropractor | 1267 N 15th St, Suite 123b, Laramie, WY 82072 | 2007-02-21 |
| 1336215441 | Laramie Pediatrics Internal Medicine | Internal Medicine | 1252 North 22nd St, Ste B, Laramie, WY 82072 | 2006-11-28 |
| 1407939218 | Ark Regional Services, Inc | Occupational Therapist | 1150 N 3rd Street, Laramie, WY 82072 | 2006-10-23 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215955885 | Randall Lee Martin | Anesthesiology | 204 Mccollum Drive, Suite 101, Laramie, WY 82070 | 2006-07-18 |
| 1306898705 | James H Price Jr. | Anesthesiology | 255 N. 30th St., Laramie, WY 82072-5140 | 2006-05-16 |
| 1013283548 | Calvin Alpha Bell | Anesthesiology | 255 N 30th St, Laramie, WY 82072-5140 | 2012-03-29 |
| 1821389537 | Andrew Taylor Georgi | Anesthesiology | 255 N 30th St, Laramie, WY 82072-5140 | 2011-04-28 |
| 1770712309 | Gregory L. Wallace | Anesthesiology | 204 Mccollum Dr, Suite 101, Laramie, WY 82070-5151 | 2009-07-02 |
| 1437253770 | Charles R Coffey | Anesthesiology | 255 N 30th St, Laramie, WY 82072 | 2006-09-08 |
| 1558465898 | Lance A Proctor | Anesthesiology | 255 N 30th St, Laramie, WY 82072 | 2006-09-08 |
| 1548364888 | Anesthesia Associates of Laramie LLC | Anesthesiology | 255 N 30th St, Laramie, WY 82072-5140 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659872422 | Signature Anesthesia, LLC | Anesthesiology | 3600 Overdale Dr, Gillette, WY 82718-7631 | 2018-02-26 |
| 1780128967 | Olena Medical Wyoming LLC | Anesthesiology | 222 S Gillette Ave, Suite 705, Gillette, WY 82716-3743 | 2016-12-07 |
| 1023402955 | Landon Bruce Bluemel | Anesthesiology | Cheyenne Regional Medical Center, 214 E 23rd St, Cheyenne, WY 82001 | 2015-03-28 |
| 1295138972 | Kodiak Anesthesia PC | Anesthesiology | 4850 Chinook Trl, Casper, WY 82604-5201 | 2014-10-08 |
| 1851725279 | Citadel Anesthesia Consultants PC | Anesthesiology | 1233 East 2nd Street, Casper, WY 82601-2988 | 2013-08-22 |
| 1376860916 | Jeffery Steven Christensen | Anesthesiology | 111 W 2nd St Ste 415, Casper, WY 82601-2467 | 2010-04-21 |
| 1043424336 | Lowell R Amiotte II | Anesthesiology | 3100 W Lakeway Suite 3, Northern Plains Anesthesia Associates, Gillette, WY 82718 | 2007-05-09 |
| 1548348923 | Mary Bernadette Weber | Anesthesiology | 2510 East 15th St Suite 2, Wyoming Medical Center, Casper, WY 82601 | 2006-11-01 |
| 1629163308 | Harry B Cohen | Anesthesiology | 726 Allen Ave Ste B, Cody, WY 82414-3442 | 2006-10-04 |
| 1982719589 | Eric F Meyer | Anesthesiology | 4401 College Dr, Rock Springs, WY 82901-3507 | 2006-08-21 |
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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.