DR. MICHAEL SUTPHIN (NPI# 1871693838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871693838 |
Entity Type | Individual |
Full Name | DR. MICHAEL SUTPHIN |
Credential | M.D. |
Practice Address |
1180 College Drive Rock Springs WY 82901 |
Practice Telephone | 3073624200 |
Practice Fax Number | 3073625406 |
Mailing Telephone | 3073624200 |
Mailing Fax Number | 3073625406 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2014-11-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | G42452 | CA | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | 166834-1205 | UT | Allopathic & Osteopathic Physicians |
Y | 208800000X | Urology | 3547A | WY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 104849000 | 05 | |
WY | BCBS-WY | 2266 | 01 |
WY | UMWA | 1312335 | 01 |
WY | UPREHA | 340001047 | 01 |
Street Address |
1180 COLLEGE DRIVE |
City | ROCK SPRINGS |
State | WY |
Zip Code | 82901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104112119 | Michael Bowers | Family Medicine | 1180 College Drive, Rock Springs, WY 82901 | 2011-06-28 |
1437312436 | Memorial Hospital of Sweetwater County | Internal Medicine | 1180 College Drive, Rock Springs, WY 82901 | 2008-07-09 |
1205099959 | Jad Joseph Wakim | Specialist | 1180 College Drive, Rock Springs, WY 82901 | 2008-07-02 |
1437346822 | Preetpal Grewal | Obstetrics & Gynecology | 1180 College Drive, Rock Springs, WY 82901 | 2007-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568094043 | Carol Mary Iverson | Naturopath | 120 Winston Dr., Ste. 101, Rock Springs, WY 82901 | 2020-02-12 |
1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
1588149181 | Ali Pendleton | Case Manager/Care Coordinator | 79 Winston #235, Rock Springs, WY 82901 | 2018-09-28 |
1982142014 | Tammy Fausett | Speech-Language Pathologist | 1105 Applewood Drive, Rock Springs, WY 82901 | 2017-02-09 |
1649713983 | Lori Lee Cunningham | Case Manager/Care Coordinator | 325 Archers Trl, Rock Springs, WY 82901 | 2016-11-18 |
1841664505 | Theresa Morrison | Case Manager/Care Coordinator | 308 Peak Road, Rock Springs, WY 82901 | 2015-11-18 |
1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
1114201845 | Cowboy Urgent Care, Inc | General Practice | 1453-a Dewar Drive, Rock Springs, WY 82901 | 2011-09-29 |
1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
Find all providers in zip 82901 |
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 |
---|---|---|---|---|
1962765586 | Cody R Christensen | Urology | 1180 College Dr, Rock Springs, WY 82901-5863 | 2012-06-19 |
1629385786 | Sweetwater Urology | Urology | 1208 Hilltop Dr, Suite 204, Rock Springs, WY 82901-5859 | 2010-09-09 |
1407892482 | Wallace M Curry Jr. | Urology | 1180 College Dr, Suite 3-4, Rock Springs, WY 82901-5863 | 2006-06-20 |
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 |
1992899223 | James A Lugg | Urology | 2301 House Ave Ste 502, Cheyenne, WY 82001-3179 | 2006-10-03 |
1639262595 | Harold L. Pierce | Urology | 2720 Harney St, Suite 200, Laramie, WY 82072-2899 | 2006-10-02 |
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 |
Find all providers with the same taxonomy |
City | ROCK SPRINGS |
Zip Code | 82901 |
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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.