STERLING PROVIDER GROUP (NPI# 1962047431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962047431 |
| Entity Type | Organization |
| Organization Name | STERLING PROVIDER GROUP |
| Practice Address |
47 Doc Perkes Rd Afton WY 83110-7703 |
| Mailing Address |
740 S Woodruff Ave Idaho Falls ID 83401-5285 |
| Practice Telephone | 3078853637 |
| Practice Fax Number | 3078853638 |
| Mailing Telephone | 2085429111 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | CORBIN BUNNAGE (OWNER) |
| Authorized Official Telephone | 2085429111 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | CLIA | 53D2147193 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
| 1164044962 | Sterling Provider Group | Clinic/Center | 1952 Harrison Drive, Evanston, WY 82930 | 2020-05-14 |
| 1568084515 | Sterling Provider Group | Clinic/Center | 2761 Commercial Way, Rock Springs, WY 82901-4753 | 2020-05-13 |
| 1912541863 | Sterling Provider Group | Clinic/Center | 507 S Main St, Hailey, ID 83333-8929 | 2019-11-04 |
| 1639713589 | Sterling Provider Group | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2019-11-04 |
| 1447894399 | Sterling Provider Group | Clinic/Center | 1201 S Main St Ste 110, Logan, UT 84321-8504 | 2019-11-04 |
| 1659915593 | Sterling Provider Group | Clinic/Center | 1404 Pomerelle Ave Ste A1, Burley, ID 83318-2013 | 2019-11-04 |
| 1205300407 | Sterling Provider Group | Clinic/Center | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2019-01-22 |
| Street Address |
47 DOC PERKES RD |
| City | AFTON |
| State | WY |
| Zip Code | 83110-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801220454 | Eric Arthur Anderson | Physician Assistant | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2013-08-29 |
| 1457842486 | Therapy Works LLC | Durable Medical Equipment & Medical Supplies | 47 Doc Perkes Rd, Afton, WY 83110 | 2018-05-25 |
| 1205348935 | Sterling Physician Group Pllc | Clinic/Center | 47 Doc Perkes Rd, Afton, WY 83110 | 2017-11-03 |
| 1255843462 | High Country Medical Supply | Durable Medical Equipment & Medical Supplies | 47 Doc Perkes Rd, Afton, WY 83110 | 2017-10-27 |
| 1164805123 | Alexander Scharmann | Physical Therapist | 47 Doc Perkes Rd, Afton, WY 83110 | 2015-07-08 |
| 1235549932 | Zachary T Migel | Physician Assistant | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269569 | Allred Performance and Rehabilitation LLC | Physical Therapist | 533 Allred Rd, Afton, WY 83110 | 2020-09-15 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1649737560 | Our Valley Pharmacy | Pharmacy | 307 South Washington, Afton, WY 83110 | 2019-02-27 |
| 1073090585 | Star Valley Healthcare, Inc. | Home Health | 625 S Washington St, Ste B, Afton, WY 83110 | 2018-07-26 |
| 1669962247 | Easy Access LLC. | Durable Medical Equipment & Medical Supplies | 152 Hillview Dr., Afton, WY 83110 | 2018-05-18 |
| 1457890659 | Beyond Home Living, LLC | Assisted Living Facility | 153 Doyle Child Circle, Afton, WY 83110 | 2017-02-21 |
| 1396294914 | Jamie Armstrong | Speech-Language Pathologist | 675 Washington, Afton, WY 83110 | 2016-09-23 |
| 1295184398 | Northwest Home Health LLC | Home Health | 422 South Washington, Ste F, Afton, WY 83110 | 2016-06-09 |
| 1811363955 | Ashley Hall | Registered Nurse | 125 South Washington, Afton, WY 83110 | 2015-08-12 |
| Find all providers in zip 83110 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662879 | Buffalo Urgent Care Inc | Clinic/Center | 496 Fort St, Buffalo, WY 82834-1806 | 2019-11-05 |
| 1851894810 | Great Plains Telehealth | Clinic/Center | 3901 S College Park Ct, Gillette, WY 82718-9441 | 2018-03-15 |
| 1275070708 | Sugar Land Walk-in Clinic | Clinic/Center | 1005 Sugarland Dr, Sheridan, WY 82801 | 2017-01-23 |
| 1609118686 | Dennis Goldberg | Clinic/Center | 1254 Lane 8, Powell, WY 82435-9303 | 2013-03-18 |
| 1053493403 | Medcor of Barrington, PC | Clinic/Center | 1 Old Faithful Hot Springs, Yellowstone Nat'l Park, WY 82190 | 2006-10-19 |
| 1467939918 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101-3214 | 2018-07-26 |
| 1174983118 | Grand Avenue Urgent Care, LLC | Clinic/Center | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2016-03-03 |
| 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 |
| 1457651663 | Americas Express Urgent Care, LLC | Clinic/Center | 7124 Commons Dr, Suite C, Cheyenne, WY 82009-2620 | 2010-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STERLING PROVIDER GROUP.
| 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.