CHEYENNE MEDICAL PLAZA SURGERY CENTER, LLC (NPI# 1902803158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902803158 |
| Entity Type | Organization |
| Organization Name | CHEYENNE MEDICAL PLAZA SURGERY CENTER, LLC |
| Other Organization Name | YELLOWSTONE SURGERY CENTER |
| Practice Address |
2301 House Ave #200 Cheyenne WY 82001-3176 |
| Practice Telephone | 3076357070 |
| Practice Fax Number | 3074339311 |
| Mailing Telephone | 3076357070 |
| Mailing Fax Number | 3074339311 |
| Enumeration Date | 2005-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TAKE GEORGE PULLOS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3076357070 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
06-186 | WY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Yellowstone Surgery Center | Doing Business As Name - Organization |
| Street Address |
2301 HOUSE AVE #200 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-3176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124134 | Celina Frances Tolge | Psychiatry & Neurology | 2301 House Ave, Suite 203, Cheyenne, WY 82001-3176 | 2005-06-16 |
| 1871098707 | Rachel Kelley Morgan | Physician Assistant | 2301 House Ave, Suite 502, Cheyenne, WY 82001-4165 | 2018-03-23 |
| 1346798675 | North Star Infusion Inc | Pharmacy | 2301 House Ave, Ste 101, Cheyenne, WY 82001-3176 | 2016-09-15 |
| 1891243481 | North Star Infusion Inc | Pharmacy | 2301 House Ave, Suite 101, Cheyenne, WY 82001 | 2016-09-13 |
| 1568815843 | Frontier Anesthesia LLC | Anesthesiologist Assistant | 2301 House Ave, Suite 300, Cheyenne, WY 82001-3176 | 2016-07-21 |
| 1114336781 | Summit Spine and Neurosurgery Associates | Neurological Surgery | 2301 House Ave, Suite 505, Cheyenne, WY 82001-3176 | 2014-08-08 |
| 1073939385 | May Katharine Collins Lehman | Physician Assistant | 2301 House Ave, Suite 301, Cheyenne, WY 82001-3176 | 2014-03-11 |
| 1174870554 | Epix Anesthesia of Cheyenne, PC | Anesthesiology | 2301 House Ave, Ste 300, Cheyenne, WY 82001-3176 | 2012-08-06 |
| 1700172434 | Joanne Laura Hassell | Pediatrics | 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 | 2011-06-21 |
| 1093009698 | Hoo Feng Choo | Internal Medicine | 2301 House Ave, Suite 201, Cheyenne, WY 82001-3176 | 2011-06-01 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1730191651 | Cheyenne Surgical Center LLC | Clinic/Center | 2301 House Ave Suite 200, Cheyenne, WY 82001 | 2006-08-12 |
| 1326247479 | Cheyenne Ocular Surgery, LLC | Clinic/Center | 1300 E 20th St, Cheyenne, WY 82001-4021 | 2007-07-17 |
| 1083833883 | Cheyenne Ocular Surgery | Clinic/Center | 1300 E 20th St, Cheyenne, WY 82001-4021 | 2007-04-24 |
| 1215073705 | Internal Medicine Group PC | Clinic/Center | 7212 Commons Cir, Cheyenne, WY 82009-2667 | 2007-01-30 |
| 1740241595 | Center for Dermatologic Surgery | Clinic/Center | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-31 |
| 1750365615 | Wops Inc | Clinic/Center | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783335 | Advanced Surgical Care of Wyoming, LLC | Clinic/Center | 51 Town Center Dr Ste 140, Gillette, WY 82718-5521 | 2020-09-01 |
| 1063040731 | Powder River Surgery Center | Clinic/Center | 906 W 6th St Ste C, Gillette, WY 82716-3435 | 2020-03-30 |
| 1649725532 | Campbell County Hospital District | Clinic/Center | 906 W 6th St, Gillette, WY 82716-3435 | 2016-08-20 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1811289218 | Fsc LLC | Clinic/Center | 1503 Cressett St, Gillette, WY 82716-3339 | 2011-05-04 |
| 1033342563 | Thomas E. Spicer, Md, PC | Clinic/Center | 1208 Hilltop Dr Ste 103, Rock Springs, WY 82901-5858 | 2009-09-01 |
| 1700042942 | Center for Surgical Excellence Inc | Clinic/Center | 1402 W. 4th Street, Gillette, WY 82716-3328 | 2008-08-06 |
| 1306826177 | Northern Wyoming Surgical Center | Clinic/Center | 732 Lindsay Ln, Cody, WY 82414-4103 | 2006-01-18 |
| 1689651481 | Teton Outpatient Services LLC | Clinic/Center | 150 Buffalo Way, Jackson, WY 83001-2530 | 2005-12-22 |
| 1174520993 | Central Wyoming Outpatient Surgery Center, LLC | Clinic/Center | 1201 E 3rd St, Casper, WY 82601-2932 | 2005-07-07 |
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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.