LANDER VALLEY MEDICAL CENTER LLC (NPI# 1538207584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538207584 |
| Entity Type | Organization |
| Organization Name | LANDER VALLEY MEDICAL CENTER LLC |
| Practice Address |
1320 Bishop Randall Dr Lander WY 82520-3939 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 3073324420 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | DONALD J. BIVACCA (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 00371001 | 01 | |
| WY | 115864303 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194849331 | Lander Valley Medical Center LLC | Internal Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-03-16 |
| 1952497596 | Lander Valley Medical Center LLC | Psychiatric Unit | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-10-04 |
| 1942396585 | Lander Valley Medical Center LLC | Medicare Defined Swing Bed Unit | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-10-04 |
| 1932295599 | Lander Valley Medical Center LLC | Rehabilitation Unit | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-10-04 |
| 1396842308 | Lander Valley Medical Center LLC | General Acute Care Hospital | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-09-20 |
| Street Address |
1320 BISHOP RANDALL DR |
| City | LANDER |
| State | WY |
| Zip Code | 82520-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006533 | Gregory Paul Clifford | Emergency Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2005-10-10 |
| 1730481557 | Mark Downing Woodard M.d. P.C. | Pathology | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2010-11-30 |
| 1831342799 | Edwin Eugene Butler | Radiology | 1320 Bishop Randall Dr, Department of Radiology, Lander, WY 82520-3939 | 2008-10-23 |
| 1669654786 | Lander Regional Hospital | General Acute Care Hospital | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-11-30 |
| 1457548711 | Lander Valley Ambulatory Surgery Center LLC | Clinic/Center | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-10-01 |
| 1982725727 | Mark Downing Woodard | Pathology | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-04-02 |
| 1194849331 | Lander Valley Medical Center LLC | Internal Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-03-16 |
| 1851439681 | Gregory P Clifford Md PC | Personal Emergency Response Attendant | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-02-02 |
| 1588720544 | Todd Gunnar Holmes | Physical Medicine & Rehabilitation | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-12-27 |
| 1558432302 | Thomas Rangitsch | Emergency Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| 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 |
|---|---|---|---|---|
| 1679682595 | Emily Marie Horne | Anesthesiology | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-08-30 |
| 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.