CENTRAL WYOMING SKIN CLINIC PC (NPI# 1588851547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588851547 |
| Entity Type | Organization |
| Organization Name | CENTRAL WYOMING SKIN CLINIC PC |
| Practice Address |
2546 E 2nd St Ste 400 Casper WY 82609-2062 |
| Practice Telephone | 3072340003 |
| Mailing Telephone | 3072340003 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | SCOTT D BENNION (MD) |
| Authorized Official Telephone | 3072340003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 114196100 | 05 |
| Street Address |
2546 E 2ND ST STE 400 |
| City | CASPER |
| State | WY |
| Zip Code | 82609-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952317505 | Scott D Bennion | Dermatology | 2546 E 2nd St Ste 400, Casper, WY 82609-2062 | 2006-08-01 |
| 1992255780 | Brandon Bennion | Nurse Practitioner | 2546 E 2nd St Ste 400, Casper, WY 82609-2062 | 2016-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629210992 | Matthew Reed Green | Dermatology | 2546 E 2nd St., #400, Casper, WY 82609 | 2009-04-01 |
| 1952317505 | Scott D Bennion | Dermatology | 2546 E 2nd St Ste 400, Casper, WY 82609-2062 | 2006-08-01 |
| 1700389004 | Tyler L. Quest, M.d., P.C. | Dermatology | 1119 E 3rd St, Casper, WY 82601-2905 | 2018-03-13 |
| 1821437971 | Tyler Lee Quest | Dermatology | 1119 E 3rd St, Casper, WY 82601-2905 | 2013-06-21 |
| 1093713067 | Rowan E Tichenor | Dermatology | 1119 E 3rd St, Casper, WY 82601-2905 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942832159 | Draper Dermatology, P.C. | Dermatology | 196 Arrowhead Dr Ste 7, Evanston, WY 82930-8752 | 2020-02-05 |
| 1427408319 | Advanced Dermatology of Wyoming, Inc | Dermatology | 62 South Redmond Street, Jackson, WY 83001-8664 | 2016-06-21 |
| 1265653745 | Brittany Wilson Baker | Dermatology | 984 W Broadway, Suite 4, Jackson, WY 83001-0000 | 2007-05-01 |
| 1821041856 | Thomas J Hogarty, M.d. | Dermatology | 206 N Brooks St, Sheridan, WY 82801-3801 | 2006-05-19 |
| 1790749836 | Christopher Michael Lowther | Dermatology | 802 Gerrans Ave, Cody, WY 82414-4120 | 2006-04-14 |
| 1699742957 | Sandra K Surbrugg | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-07 |
| 1447233754 | Jonathan Glenn Baker | Dermatology | 984 West Broadway, Suite 4, Jackson, WY 83001-0000 | 2005-11-22 |
| 1043630619 | Krystal J Massey | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2014-04-23 |
| 1962676353 | Gregory Seitz | Dermatology | 2112 Seymour Ave, Cheyenne, WY 82001 | 2008-04-16 |
| 1265500946 | Seitz Dermatology, PC | Dermatology | 2112 Seymour Ave, Cheyenne, WY 82001-3830 | 2006-12-01 |
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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.