TRAILHEAD INPATIENT SERVICES, LLC (NPI# 1487997094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487997094 |
| Entity Type | Organization |
| Organization Name | TRAILHEAD INPATIENT SERVICES, LLC |
| Practice Address |
111 S 5th St Douglas WY 82633-2434 |
| Mailing Address |
815 S Palafox St 3rd Floor Pensacola FL 32502-5960 |
| Practice Telephone | 3073582122 |
| Practice Fax Number | 8003053233 |
| Mailing Telephone | 8004447009 |
| Mailing Fax Number | 8003053233 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-08-12 |
| Authorized Official Name | JOSEPH W TAYLOR (EXEC, VICE PRESIDENT, EPP) |
| Authorized Official Telephone | 8004447009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
111 S 5TH ST |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670267 | Phillip O Tigert | Physician Assistant | 111 S 5th St, Douglas, WY 82633-2434 | 2005-06-28 |
| 1972110138 | Melanie Hummert | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-09-30 |
| 1467070730 | Jordon Jacklin | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-07-13 |
| 1225662216 | Sara Marie Thronburg | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2020-02-27 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| 1043867872 | Aaron Bernal | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-26 |
| 1033765821 | Hannah Williams | Occupational Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-16 |
| 1710457601 | Michael Jeremey Littleton | Emergency Medical Technician, Paramedic | 111 S 5th St, Douglas, WY 82633-2434 | 2018-12-04 |
| 1275054751 | Shelby Hoskinson | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2017-07-05 |
| 1811447956 | Melissa Renee Bulkley | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1235611468 | Jessica Renee Snyder | Social Worker | 1841 Madora Ave, Douglas, WY 82633 | 2018-09-04 |
| Find all providers in zip 82633 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
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|---|---|---|---|---|
| 1821386400 | Grand Canyon State Inpatient Services | Hospitalist | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2011-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740530179 | Daza Medical Consulting Service PC | Hospitalist | 400 S 15th Street, Worland, WY 82401-3531 | 2012-09-13 |
| 1033221569 | South Lincoln Hospital District | Hospitalist | 711 Onyx St, Kemmerer, WY 83101-3214 | 2006-08-31 |
| 1164037024 | Aminata Aw | Hospitalist | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2020-09-08 |
| 1356985600 | Summit Hospitalist Group LLC | Hospitalist | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-10-30 |
| 1578112710 | Mark Daniel Kunze | Hospitalist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2019-09-10 |
| 1376994012 | Mohr Healthcare Solutions LLC | Hospitalist | 5715 E 2nd St, Casper, WY 82609-4322 | 2016-06-23 |
| 1700208808 | Grant Hospitalists Services, LLC | Hospitalist | 400 S 15th St, Worland, WY 82401-3531 | 2014-01-09 |
| 1104191352 | Rangeland Inpatient Services LLC | Hospitalist | 1124 Washington Blvd, Ste 1600, Newcastle, WY 82701-2972 | 2012-03-20 |
| 1881963882 | Bitter Creek Inpatient Services LLC | Hospitalist | 1200 College Dr, Rock Springs, WY 82901-5868 | 2011-12-20 |
| 1982850319 | West Park Hospital District Hospitalists | Hospitalist | 707 Sheridan Ave, Cody, WY 82414-3409 | 2008-08-18 |
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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.