RIVERTON PHYSICIAN PRACTICES LLC (NPI# 1669702163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669702163 |
| Entity Type | Organization |
| Organization Name | RIVERTON PHYSICIAN PRACTICES LLC |
| Other Organization Name | WIND RIVER NEUROLOGY |
| Practice Address |
2002 W Sunset Dr Suite 2 Riverton WY 82501-2283 |
| Practice Telephone | 3708566600 |
| Practice Fax Number | 3708569601 |
| Mailing Telephone | 3708566600 |
| Mailing Fax Number | 3708569601 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | JESS N JUDY (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wind River Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083865554 | Riverton Physician Practices LLC | Internal Medicine | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2008-10-02 |
| 1619236791 | Riverton Physician Practices LLC | Internal Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2012-05-10 |
| 1326377920 | Riverton Physician Practices LLC | Podiatrist | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2009-12-10 |
| 1174858302 | Riverton Physician Practices LLC | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2009-10-06 |
| 1497982805 | Riverton Physician Practices LLC | Orthopaedic Surgery | 1005 College View Dr, Suite 9, Riverton, WY 82501-2266 | 2009-06-12 |
| Street Address |
2002 W SUNSET DR SUITE 2 |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-2283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659369650 | Jerry S Jarrard | Emergency Medicine | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2005-10-12 |
| 1467801340 | Thad Justin Willis | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2016-06-10 |
| 1932585742 | Jeffrey Alcorn | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2015-08-04 |
| 1043691835 | Zachary Olivarez | Specialist/Technologist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2015-06-17 |
| 1730598830 | Thomas Davis | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2014-08-04 |
| 1639588734 | Katherine Quayle | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2014-08-04 |
| 1407102585 | Kelly Carpenter | Physical Therapy Assistant | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2012-07-26 |
| 1326393794 | Whittney K Gomendi-smith | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2012-07-20 |
| 1326377920 | Riverton Physician Practices LLC | Podiatrist | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2009-12-10 |
| 1922158708 | Advanced Ent and Sinus Center of Wyoming PC | Otolaryngology | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811264732 | Campbell County Hospital District | Psychiatry & Neurology | 501 S Burma Ave 3n-neuro, Gillette, WY 82716-3426 | 2011-11-21 |
| 1477745842 | Catherine Haynes Wuthrich | Psychiatry & Neurology | 2092 Lilac Lane, Jackson, WY 83002 | 2007-08-09 |
| 1083793863 | Allen L Gee | Psychiatry & Neurology | 1008 13th St, Suite A, Cody, WY 82414-3677 | 2006-11-03 |
| 1407942501 | Western Wyoming Neurology PC | Psychiatry & Neurology | 2751 Commercial Way, Rock Springs, WY 82901-4753 | 2006-10-05 |
| 1013008416 | David B Wheeler | Psychiatry & Neurology | 1020 East 2nd Street, Ste 100, Casper, WY 82601-2955 | 2006-09-28 |
| 1750472403 | Peter Crane | Psychiatry & Neurology | 105 Wyoming St, Lander, WY 82520-3391 | 2006-09-27 |
| 1699701532 | Frank R Wheeler | Psychiatry & Neurology | 427 Lincoln St, Lander, WY 82520-2831 | 2006-06-23 |
| 1316920549 | Reed Clifton Shafer | Psychiatry & Neurology | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2005-11-22 |
| 1104813930 | Thomas Otto Mayer | Psychiatry & Neurology | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2005-10-06 |
| 1134124134 | Celina Frances Tolge | Psychiatry & Neurology | 2301 House Ave, Suite 203, Cheyenne, WY 82001-3176 | 2005-06-16 |
| 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.