UROLOGY CARE CLINIC, P.C. (NPI# 1780754317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780754317 |
| Entity Type | Organization |
| Organization Name | UROLOGY CARE CLINIC, P.C. |
| Practice Address |
433 E 19th St Cheyenne WY 82001-4643 |
| Practice Telephone | 3076323111 |
| Practice Fax Number | 3077788649 |
| Mailing Telephone | 3076323111 |
| Mailing Fax Number | 3077788649 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. EDITH DIANE WILSON (OWNER) |
| Authorized Official Telephone | 3076323111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 5500A | WY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Urology Care Clinic, P.C. | 180 S 35th Street, Boulder, CO 80305 |
| Street Address |
433 E 19TH ST |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802663 | Meade O Davis IIi | Specialist | 433 E 19th St, Cheyenne, WY 82001-4643 | 2005-06-27 |
| 1780244392 | Sarah Rose Cardenas | Physical Therapist | 433 E 19th St, Cheyenne, WY 82001-4643 | 2019-06-17 |
| 1841717410 | Physio Sport & Spine LLC | Physical Therapist | 433 E 19th St, Cheyenne, WY 82001-4643 | 2017-08-24 |
| 1356887194 | Nathan Michael Everett | Physical Therapist | 433 E 19th St, Cheyenne, WY 82001-4643 | 2017-01-18 |
| 1558732826 | Joslyn Thompson | Nurse Practitioner | 433 E 19th St, Cheyenne, WY 82001-4643 | 2015-10-13 |
| 1942603097 | Amy Scott Shaw | Physician Assistant | 433 E 19th St, Cheyenne, WY 82001-4643 | 2014-10-03 |
| 1578824801 | Cheyenne Regional Urgent Care, LLC | Clinic/Center | 433 E 19th St, Cheyenne, WY 82001-4643 | 2012-06-04 |
| 1437416443 | Frontier Medical Providers | Clinic/Center | 433 E 19th St, Cheyenne, WY 82001-4643 | 2012-04-15 |
| 1316263593 | Sateesh Ramkishan Devagupthapu | Preventive Medicine | 433 E 19th St, Cheyenne, WY 82001-4643 | 2010-04-14 |
| 1659520609 | Jamie C Everett | Physical Therapist | 433 E 19th St, Cheyenne, WY 82001-4643 | 2008-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992899223 | James A Lugg | Urology | 2301 House Ave Ste 502, Cheyenne, WY 82001-3179 | 2006-10-03 |
| 1831277029 | Bill Douglas Harris | Urology | 2301 House Ave Ste 502, Cheyenne, WY 82001-3179 | 2006-11-02 |
| 1346328556 | John F Bryant | Urology | 2301 House Ave Ste 502, Cheyenne, WY 82001-3179 | 2006-11-02 |
| 1942388178 | Cheyenne Urological PC | Urology | 2301 House Ave Ste 502, Cheyenne, WY 82001-3179 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306139050 | Brandon Trojan | Urology | 1416 E A St Ste 101, Casper, WY 82601-2276 | 2011-05-26 |
| 1043379472 | Big Horn Urology PC | Urology | 340 West Dow Street, Sheridan, WY 82801 | 2006-12-08 |
| 1639262595 | Harold L. Pierce | Urology | 2720 Harney St, Suite 200, Laramie, WY 82072-2899 | 2006-10-02 |
| 1871693838 | Michael Sutphin | Urology | 1180 College Drive, Rock Springs, WY 82901 | 2006-09-22 |
| 1487765764 | Urology Clinic PC | Urology | 2710 Harney St, Suite 200, Laramie, WY 82070-2899 | 2006-08-31 |
| 1578679809 | James Byrd Haden | Urology | 1416 E A St # S101, Casper, WY 82601-2276 | 2006-08-21 |
| 1689787566 | Lisa J Finkelstein | Urology | 557 E Broadway, Jackson, WY 83002 | 2006-08-16 |
| 1740291137 | William Dean Flock | Urology | 2606 E Grand Ave, Laramie, WY 82070-5251 | 2006-08-10 |
| 1275592024 | John Paul Jones | Urology | 1416 E A St, Ste 101, Casper, WY 82601-2276 | 2006-03-21 |
| 1508832080 | Urological Services of Northern Wyoming Professional Corporation | Urology | 225 W Yellowstone Ave, Suite #9, Cody, WY 82414-8702 | 2006-02-24 |
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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.