DR. DAVID ROBERT FALL (NPI# 1578676490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578676490 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROBERT FALL |
| Credential | M.D. |
| Practice Address |
1308 W 4th St Gillette WY 82716-3330 |
| Practice Telephone | 3076871300 |
| Practice Fax Number | 3076821309 |
| Mailing Telephone | 3076871300 |
| Mailing Fax Number | 3076821309 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
3687A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BCBS PROVIDER NUMBER | 302314 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235145103 | David Fall | Chiropractor | 332 Eastern Ave, Fall River, MA 02723-2454 | 2006-07-31 |
| 1356361653 | David Burton Fall | Dentist | 3471 Fifth Avenue, Suite 1114 Kaufmann Madical Building, Pittsburgh, PA 15213 | 2006-07-20 |
| 1407159510 | David Anthony Fall | Nurse Practitioner | 1234 Mchenry Ave, Modesto, CA 95350-5373 | 2010-12-10 |
| Street Address |
1308 W 4TH ST |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306959267 | Julie Shibata Fall | Pediatrics | 1308 W 4th St, Gillette, WY 82716-3330 | 2006-08-16 |
| 1982246989 | Campbell County Hospital District | Pediatrics | 1308 W 4th St, Gillette, WY 82716-3330 | 2019-10-10 |
| 1780178897 | Jennifer A. Rasmuson | Family Medicine | 1308 W 4th St, Gillette, WY 82716-3330 | 2018-06-21 |
| 1356592976 | Mindy Keil | Physician Assistant | 1308 W 4th St, Gillette, WY 82716-3330 | 2008-10-01 |
| 1477660447 | Big Horn Pediatrics | Family Medicine | 1308 W 4th St, Gillette, WY 82716-3330 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306959267 | Julie Shibata Fall | Pediatrics | 1308 W 4th St, Gillette, WY 82716-3330 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013012467 | Kent Kleppinger | Pediatrics | 1252 N 22nd St, Suite B, Laramie, WY 82072-5306 | 2006-09-13 |
| 1770583403 | Joanne E. Steane | Pediatrics | 1000 E University Ave, Dept. 3068, Laramie, WY 82071-2000 | 2005-07-22 |
Please comment or provide details below to improve the information on DR. DAVID ROBERT FALL.
| 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.