MR. CHARLES DOUGLAS LITTELL (NPI# 1649490814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649490814 |
| Entity Type | Individual |
| Full Name | MR. CHARLES DOUGLAS LITTELL |
| Credential | PA-C |
| Practice Address |
26 Miles West of Green River Green River WY 82935-0872 |
| Mailing Address |
Po Box 872 Robertson WY 82944-0173 |
| Practice Telephone | 3078722250 |
| Practice Fax Number | 3078722569 |
| Mailing Telephone | 2082273536 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
218 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26 MILES WEST OF GREEN RIVER |
| City | GREEN RIVER |
| State | WY |
| Zip Code | 82935-0872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
| 1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
| 1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
| 1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
| 1518159854 | Gordon Lee Balka | Preventive Medicine | General Chemical, 324 Allied Chemical Rd, Green River, WY 82935 | 2007-08-10 |
| 1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
| 1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
| 1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
| 1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
| 1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
| Find all providers in zip 82935 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326081084 | Kim Thyrill Mcfarlane | Physician Assistant | 585 West Main Street, Green River, UT 84525-0417 | 2006-06-13 |
| 1306892047 | Kristine F Sherwin | Physician Assistant | 1400 Uinta Dr, Green River, WY 82935-5046 | 2006-05-25 |
| 1821243684 | Shannon Taylor Thurston | Physician Assistant | 585 West Main Street, Green River, UT 84525 | 2008-11-20 |
| 1679512305 | Charles Joseph Amy | Physician Assistant | 1400 Uinta Dr, Green River, WY 82935-5046 | 2006-06-06 |
| 1346289717 | Janet L Majhanovich | Physician Assistant | 1400 Uinta Dr, Green River, WY 82935-5046 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1730646035 | Colby Vossler | Physician Assistant | 2635 Torrington Rd, Cheyenne, WY 82009-9258 | 2019-02-23 |
| 1679910343 | Richard David Bennett | Physician Assistant | 720 Lindsay Lane, Suite C, Big Horn Basin Bone and Joint, LLC, Cody, WY 82414-4103 | 2013-06-04 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 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 |
| 1376638338 | Steven John Platz | Physician Assistant | 8195 State Hwy 789, Lander, WY 82520 | 2006-10-04 |
| 1811094154 | Kenneth L. Chastek | Physician Assistant | Employee Health Solutions, 245 South Fenway, Casper, WY 82601 | 2006-09-20 |
| 1851318422 | Patricia Ann Brown | Physician Assistant | 1208 S. River St., Saratoga, WY 82331-0650 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
| City | GREEN RIVER |
| Zip Code | 82935 |
Please comment or provide details below to improve the information on MR. CHARLES DOUGLAS LITTELL.
| 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.