COWBOY MEDICAL GROUP PC (NPI# 1811401821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811401821 |
| Entity Type | Organization |
| Organization Name | COWBOY MEDICAL GROUP PC |
| Practice Address |
1125 Charles Ave Worland WY 82401-4021 |
| Practice Telephone | 3073472449 |
| Mailing Telephone | 3073472449 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Authorized Official Name | JASON C WEYER (OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3078645534 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154836617 | Cowboy Medical Group PC | Family Medicine | 1125 Charles Ave, Worland, WY 82401-4021 | 2017-12-06 |
| Street Address |
1125 CHARLES AVE |
| City | WORLAND |
| State | WY |
| Zip Code | 82401-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457396962 | Keristyn J Carrell | Nurse Practitioner | 1125 Charles Ave, Worland, WY 82401-4021 | 2006-06-18 |
| 1225666332 | Hot Springs County Hospital District | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2020-04-01 |
| 1255824900 | Caitlin Herdrick | Occupational Therapist | 1125 Charles Ave, Worland, WY 82401-4021 | 2018-06-07 |
| 1154836617 | Cowboy Medical Group PC | Family Medicine | 1125 Charles Ave, Worland, WY 82401-4021 | 2017-12-06 |
| 1629518220 | Jeremiah Cannon | Nurse Practitioner | 1125 Charles Ave, Worland, WY 82401-4021 | 2017-03-01 |
| 1528500683 | Tess Williams | Physical Therapist | 1125 Charles Ave, Worland, WY 82401-4021 | 2016-11-07 |
| 1023247624 | Red Rock Family Practice, Inc | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2009-07-06 |
| 1932338530 | Red Rock Family Practice, Inc | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284107 | Margaret Joan Mcdaniel | Registered Nurse | 1910 Sage Crossing Ave, Worland, WY 82401 | 2020-01-09 |
| 1902365240 | Worland Pharmacy Inc. | Pharmacy | 1095 Circle Rd, Worland, WY 82401 | 2019-03-17 |
| 1023547155 | Deborah J Anderson | Counselor | 401 South 23rd St, Worland, WY 82401 | 2017-06-12 |
| 1265808273 | Tang Mo Wong | Occupational Therapist | 1910 Howell Avenue, Worland, WY 82401 | 2015-08-12 |
| 1063783389 | William Jonas Tempany | Counselor | 406 S 6, Basin, WY 82401 | 2012-01-18 |
| 1609009133 | Sharon Eisele | Case Manager/Care Coordinator | 1216 Ti Bi Yek, Worland, WY 82401 | 2009-09-01 |
| 1295997013 | Benjamin B Wilde | Family Medicine | 1405 Howell, Worland, WY 82401 | 2008-07-02 |
| 1134390552 | Linda Kay Hausner | Registered Nurse | 401 South 23rd Street, 401 South 23rd Street, Worland, WY 82401 | 2008-03-13 |
| 1033302047 | Lisa Anne Stephens | Physical Therapist | 1313 Big Horn Ave, Worland, WY 82401 | 2007-08-22 |
| 1316147952 | Jeffries Dental, P.C. | Dentist | 3313 Paintbrush Lane, Worland, WY 82401 | 2007-07-23 |
| Find all providers in zip 82401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295997013 | Benjamin B Wilde | Family Medicine | 1405 Howell, Worland, WY 82401 | 2008-07-02 |
| 1144296245 | John E Thurston | Family Medicine | 401 S 15th St, Worland, WY 82401-3530 | 2006-02-27 |
| 1386646669 | Edward D Zimmerman | Family Medicine | 316 N 10th St, Worland, WY 82401-2307 | 2005-06-01 |
| 1154836617 | Cowboy Medical Group PC | Family Medicine | 1125 Charles Ave, Worland, WY 82401-4021 | 2017-12-06 |
| 1386022630 | Amber Moss | Family Medicine | 1405 Howell Ave, Worland, WY 82401 | 2015-05-07 |
| 1558753277 | Alpha Medical Inc | Family Medicine | 400 S 15th St, Worland, WY 82401-3531 | 2015-03-04 |
| 1174764757 | Big Horn Family Medicine LLC | Family Medicine | 316 N 10th St, Worland, WY 82401-2307 | 2009-03-12 |
| 1942370879 | Mark A Flinner | Family Medicine | 1405 Howell Ave, Worland, WY 82401 | 2006-11-08 |
| 1124049333 | Craig Lauer | Family Medicine | 400 South 15th Street, Worland, WY 82401 | 2006-07-22 |
| 1770536963 | Thurston Medical Clinic PC | Family Medicine | 401 S 15th St, Worland, WY 82401-3530 | 2006-05-18 |
| Find all providers in WORLAND | ||||
Please comment or provide details below to improve the information on COWBOY MEDICAL GROUP PC.
| 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.