ROBERT WADE WASHBURN (NPI# 1952382822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952382822 |
| Entity Type | Individual |
| Full Name | ROBERT WADE WASHBURN |
| Credential | PA |
| Practice Address |
6900 Alden Dr 90 Mdg Fe Warren Afb WY 82005-3906 |
| Practice Telephone | 3077733461 |
| Mailing Telephone | 3077733461 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
NCCPA 1045811 | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912356890 | Robert Washburn | Counselor | 1000 E Main St, Lamar, AR 72846-7401 | 2016-06-10 |
| Street Address |
6900 ALDEN DR 90 MDG |
| City | FE WARREN AFB |
| State | WY |
| Zip Code | 82005-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990863 | Vivian Colette Tran | Pharmacist | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2020-01-02 |
| 1275096737 | Richard K Newman | Student in an Organized Health Care Education/Training Program | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2019-04-11 |
| 1952806069 | Jodi Lynn Keithley | Dietitian, Registered | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2018-03-29 |
| 1437675949 | Thomas Charles Ingersoll Jr. | Physician Assistant | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2017-08-16 |
| 1730619446 | Lauren Joann Redlinger | Family Medicine | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2017-06-14 |
| 1427421312 | Rebecca Dawn Ishola | Registered Nurse | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2015-11-02 |
| 1679953640 | Mary Frances Macleod | Pediatrics | 6900 Alden Dr, Fe Warren Afb, WY 82005 | 2015-06-04 |
| 1497144612 | Kelly Smerling | Nurse Practitioner | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2015-01-12 |
| 1578979688 | 90th Medical Group-united States Air Force | Military/U.S. Coast Guard Pharmacy | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2014-07-09 |
| 1407289069 | James Henry Barry Jr. | Pediatrics | 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | 2013-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250597 | Brittany Corrin Souder | Military Health Care Provider | 1600 Aldene Drive, Fe Warren Afb, WY 82005 | 2020-06-23 |
| 1093368110 | Aaron Michael Keating | Student in an Organized Health Care Education/Training Program | Mental Health Clinic, 90th Omrs, Fe Warren Clinic, Fe Warren Afb, WY 82005 | 2019-07-17 |
| 1477643823 | Paul Hoon Kim | Dentist | 90 Mdos, 6900 Alden Dr, F.e. Warren Afb, WY 82005 | 2006-10-14 |
| 1568495315 | Joseph Myles Simpson, Jr. | Dentist | F E Warren Air Force Base Dental Clinic, 6900 Alden Drive, Cheyenne, WY 82005 | 2006-07-07 |
| 1306864632 | Lisa Sung Eun Lee | Pharmacist | 6900 Alden Drive, Fe Warren Afb, WY 82005 | 2006-07-17 |
| 1992957252 | Perala Enterprises, LLC | Eyewear Supplier (Equipment, not the service) | 6207 Missile Dr, Building 722, Ft Warren Afb, WY 82005-2407 | 2008-10-17 |
| 1972157808 | James Turvy | Dentist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-2945 | 2019-07-29 |
| 1245478676 | Denise E Campbell | Nutritionist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2009-01-22 |
| 1255837332 | Robert Usher Wright Jr. | General Practice | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2018-04-05 |
| 1396018982 | Ryan Christopher Reynolds | Pharmacist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2012-02-14 |
| Find all providers in zip 82005 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174552640 | Wendy Lisa Stevens | Physician Assistant | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1730646035 | Colby Vossler | Physician Assistant | 2635 Torrington Rd, Cheyenne, WY 82009-9258 | 2019-02-23 |
| 1679910343 | Richard David Bennett | Physician Assistant | 720 Lindsay Lane, Suite C, Big Horn Basin Bone and Joint, LLC, Cody, WY 82414-4103 | 2013-06-04 |
| 1649490814 | Charles Douglas Littell | Physician Assistant | 26 Miles West of Green River, Green River, WY 82935-0872 | 2007-04-27 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1194815225 | Barbara A. Shear | Physician Assistant | 2417 East 15th Street, Casper, WY 82609 | 2006-10-12 |
| 1952498230 | Daniel Janssen | Physician Assistant | 900 Cy Ave, Casper, WY 82601-4174 | 2006-10-06 |
| 1376638338 | Steven John Platz | Physician Assistant | 8195 State Hwy 789, Lander, WY 82520 | 2006-10-04 |
| 1811094154 | Kenneth L. Chastek | Physician Assistant | Employee Health Solutions, 245 South Fenway, Casper, WY 82601 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | FE WARREN AFB |
| Zip Code | 82005 |
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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.