DR. GLEN JEFFREY POFFENBARGER (NPI# 1669469227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669469227 |
| Entity Type | Individual |
| Full Name | DR. GLEN JEFFREY POFFENBARGER |
| Credential | MD |
| Practice Address |
3030 Big Horn Ave Cody WY 82414-9208 |
| Practice Telephone | 3075781955 |
| Practice Fax Number | 3075781996 |
| Mailing Telephone | 3075781955 |
| Mailing Fax Number | 3075781996 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 9823A | WY | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 0101238532 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
3030 BIG HORN AVE |
| City | CODY |
| State | WY |
| Zip Code | 82414-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306405790 | Jennifer Lindsay Warner | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2019-06-10 |
| 1053821066 | Kayla Nagle | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2017-10-04 |
| 1487815742 | Rachael M. Bracke | Hospitalist | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2008-06-19 |
| 1568667145 | Jared T Lee | Orthopaedic Surgery | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2007-06-15 |
| 1134249725 | Big Horn Basin Bone & Joint, LLC | Orthopaedic Surgery | 3030 Big Horn Ave, Cody, WY 82414 | 2007-03-29 |
| 1922104595 | Kerry Bower | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2006-09-14 |
| 1790764520 | Brett J Argeris | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2006-01-11 |
| 1992787980 | John R Vipperman | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2005-11-16 |
| 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 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 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 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558609511 | Albert Victor Metz Jr. | Neurological Surgery | 6800 S Poplar St, Casper, WY 82601-6215 | 2013-01-26 |
| 1578671186 | Wayne Lee Warren Jr. | Neurological Surgery | 419 S Washington St Ste 201, Casper, WY 82601-2951 | 2006-08-25 |
| 1386603553 | Judson Howard Cook | Neurological Surgery | 1950 Bluegrass Cir, Ste 170, Cheyenne, WY 82009 | 2006-03-17 |
| 1588633291 | Steven Joseph Beer | Neurological Surgery | 1950 Bluegrass Circle, Ste 170, Cheyenne, WY 82009 | 2006-03-15 |
| 1225551856 | Delta Romeo Tango LLC | Neurological Surgery | 2751 Commercial Way, Rock Springs, WY 82901-4753 | 2017-07-25 |
| 1114336781 | Summit Spine and Neurosurgery Associates | Neurological Surgery | 2301 House Ave, Suite 505, Cheyenne, WY 82001-3176 | 2014-08-08 |
| 1487958153 | Summit Spine & Neurosurgery Associates PC | Neurological Surgery | 2301 House Ave, Suite 505, Cheyenne, WY 82001-3176 | 2011-01-10 |
| 1730407495 | Wyoming Spine & Neurosurgery | Neurological Surgery | 1950 Bluegrass Cir, Suite 170, Cheyenne, WY 82009-7323 | 2010-05-05 |
| 1720296130 | Wyoming Spine and Neurosurgery LLC | Neurological Surgery | 1950 Bluegrass Cir, Ste 170, Cheyenne, WY 82009-7323 | 2007-05-18 |
| 1235208901 | Central Wyoming Neurosurgery LLC | Neurological Surgery | 6600 E 2nd St, Casper, WY 82609-4348 | 2006-11-07 |
| 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.