UINTA EMERGENCY PHYSICIANS, LLC (NPI# 1619383148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619383148 |
Entity Type | Organization |
Organization Name | UINTA EMERGENCY PHYSICIANS, LLC |
Practice Address |
190 Arrowhead Dr Evanston WY 82930-9266 |
Practice Telephone | 3077893636 |
Mailing Telephone | 3077893636 |
Enumeration Date | 2014-07-04 |
Last Update Date | 2014-07-04 |
Authorized Official Name | DR. MARION BISHOP (CO-DIRECTOR) |
Authorized Official Telephone | 3077893636 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
Street Address |
190 ARROWHEAD DR |
City | EVANSTON |
State | WY |
Zip Code | 82930-9266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639140015 | Evanston Hospital Corporation | General Acute Care Hospital | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-01 |
1891308300 | Valley View Emergency Physicians LLC | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2020-08-25 |
1073167359 | Evanston Regional Physicians LLC | Family Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2019-07-25 |
1972981132 | University of Utah Adult Services | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2015-05-08 |
1871971184 | Daryl Mclaren | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930 | 2015-05-07 |
1013394642 | University of Utah Adult Services | Internal Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2015-05-04 |
1013288836 | Evanston Hospital Corporation | Nurse Anesthetist, Certified Registered | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2012-01-25 |
1891091898 | Tyler Lee Hunt | Nurse Anesthetist, Certified Registered | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2011-02-08 |
1902126824 | Ian James Kendrick | Surgery | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2010-06-02 |
1730341298 | Steven Edward Muller | Pharmacist | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2008-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
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Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184706640 | Evanston Emergency Physicians Pllc | Emergency Medicine | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447469135 | Alton Parker | Emergency Medicine | 555 E. Broadway #212, Jackson, WY 83001 | 2007-05-21 |
1700945789 | Duane Abels | Emergency Medicine | 2221 W Elm Street, Rawlins, WY 82301 | 2006-12-06 |
1154402972 | Weston County Hospital District | Emergency Medicine | 1124 Washington Boulevard, Newcastle, WY 82701 | 2006-10-18 |
1467565754 | Gregory J Johnson | Emergency Medicine | 2221 W Elm St, Rawlins, WY 82301-0460 | 2006-08-17 |
1649383001 | Jeffrey D Greenbaum | Emergency Medicine | 625 E Broadway St, Jackson, WY 83001-0428 | 2006-08-17 |
1598773368 | John P. Healey | Emergency Medicine | 820 E 17th St, Cheyenne, WY 82001-4714 | 2006-08-04 |
1285293043 | Lynda Jean Nelson | Emergency Medicine | 7 W Wentworth St, Newcastle, WY 82701-2838 | 2019-06-06 |
1538207584 | Lander Valley Medical Center LLC | Emergency Medicine | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2007-02-02 |
1033225354 | Richard A Mckay | Emergency Medicine | 625 E Broadway St, Jackson, WY 83001 | 2006-08-21 |
1003922360 | William R Smith | Emergency Medicine | 625 E Broadway, Jackson, WY 83001 | 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.