LORI J. WORTHAM (NPI# 1558378372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558378372 |
| Entity Type | Individual |
| Full Name | LORI J. WORTHAM |
| Credential | PA-C |
| Practice Address |
940 E 3rd St Ste 215 Casper WY 82601-3251 |
| Practice Telephone | 3072375510 |
| Practice Fax Number | 3072370607 |
| Mailing Telephone | 3072375510 |
| Mailing Fax Number | 3072370607 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA450 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
399 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806739400 | 05 |
| Street Address |
940 E 3RD ST STE 215 |
| City | CASPER |
| State | WY |
| Zip Code | 82601-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194815225 | Barbara A. Shear | Physician Assistant | 2417 East 15th Street, Casper, WY 82609 | 2006-10-12 |
| 1952498230 | Daniel Janssen | Physician Assistant | 900 Cy Ave, Casper, WY 82601-4174 | 2006-10-06 |
| 1811094154 | Kenneth L. Chastek | Physician Assistant | Employee Health Solutions, 245 South Fenway, Casper, WY 82601 | 2006-09-20 |
| 1104868017 | Virginia L Myers | Physician Assistant | 1300 E A St, Suite 104, Casper, WY 82601-2260 | 2006-06-12 |
| 1710973177 | Amy Bess Whinnery | Physician Assistant | 5000 Blackmore Rd, Casper, WY 82609-3345 | 2005-09-21 |
| 1710584370 | Effie Ruth Bird | Physician Assistant | 1522 E A St, Casper, WY 82601-2254 | 2020-10-07 |
| 1285117903 | Brittany Hager | Physician Assistant | 2521 E 15th St, Casper, WY 82609-4126 | 2018-09-09 |
| 1720334543 | Paul D Malsom | Physician Assistant | 5000 Blackmore Rd, Casper, WY 82609-3345 | 2012-07-30 |
| 1629301080 | Sarah M Adsit | Physician Assistant | 1230 E 1st St, Casper, WY 82601-2704 | 2009-09-16 |
| 1962635300 | Steven C Coxe | Physician Assistant | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2009-09-02 |
| Find all providers in CASPER | ||||
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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.