BIG HORN BASIN CHILDRENS CLINIC PC (NPI# 1629304589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629304589 |
| Entity Type | Organization |
| Organization Name | BIG HORN BASIN CHILDRENS CLINIC PC |
| Practice Address |
1220 Sunshine Ave Suite 101 Cody WY 82414 |
| Mailing Address |
1220 Sunshine Ave Suite 101 Cody WY 82414-4234 |
| Practice Telephone | 3075875545 |
| Practice Fax Number | 3075275202 |
| Mailing Telephone | 3075875545 |
| Mailing Fax Number | 3075275202 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | ROBERT NEIL TREECE (OWNER) |
| Authorized Official Telephone | 3075875545 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4038A | WY | Allopathic & Osteopathic Physicians |
| Street Address |
1220 SUNSHINE AVE SUITE 101 |
| City | CODY |
| State | WY |
| Zip Code | 82414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| 1669665311 | Kim M Lewis | Speech-Language Pathologist | 808 North St, Cody, WY 82414 | 2007-08-24 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1568751014 | Peter Damian Sidor | Pediatrics | 1220 Sunshine Ave Ste 101, Cody, WY 82414-4247 | 2011-04-05 |
| 1750383774 | Charles Edward Jamieson | Pediatrics | 1220 Sunshine Ave, Suite 101, Cody, WY 82414-4234 | 2005-08-10 |
| 1013467851 | Big Horn Basin Children's Clinic, PC | Pediatrics | 1220 Sunshine Ave, Suite 101, Cody, WY 82414-4234 | 2016-10-05 |
| 1043279987 | Robert Neil Treece | Pediatrics | 1220 Sunshine Ave, Cody, WY 82414 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427427152 | Karin L Klee Md | Pediatrics | 555 E Broadway Ave Ste 216, Jackson, WY 83001-8640 | 2015-09-23 |
| 1801291240 | John Richard Hillman | Pediatrics | 1217 W Powell Rd, Cheyenne, WY 82009-1019 | 2014-10-28 |
| 1669891099 | Jacquelin Foss Hardenbrook | Pediatrics | 555 E Broadway Ave Ste 202, Jackson, WY 83001-8640 | 2014-04-14 |
| 1790101947 | Campbell County Hospital District | Pediatrics | 800 Butler Spaeth Rd, Gillette, WY 82716-4612 | 2014-03-12 |
| 1376840587 | Colleen R. Shaw | Pediatrics | 916 Jackson Avenue, Sheridan, WY 82801 | 2011-02-24 |
| 1730324872 | Wyoming Health Medical Group, LLC | Pediatrics | 167 S Conwell St, Ste 3, Casper, WY 82601-2749 | 2008-12-03 |
| 1821247727 | Katarzyna M Zarzycki | Pediatrics | 2301 House Ave Ste 405, Cheyenne, WY 82001-3180 | 2008-09-16 |
| 1225203011 | Tom Pockat Md PC | Pediatrics | 555 E. Broadway St., Suite 202, Jackson, WY 83001-4182 | 2008-04-23 |
| 1316072788 | Lucase H Wang | Pediatrics | 1300 E A St Ste 206, Casper, WY 82601-2252 | 2007-02-23 |
| 1124190277 | Linda Kamil Abujaber-ammari | Pediatrics | 1300 W 4th St, Gillette, WY 82716 | 2006-11-14 |
| Find all providers with the same taxonomy | ||||
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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.