JOHN R VIPPERMAN (NPI# 1992787980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992787980 |
| Entity Type | Individual |
| Full Name | JOHN R VIPPERMAN |
| Credential | PAC |
| Practice Address |
3030 Big Horn Ave Cody WY 82414-9208 |
| Practice Telephone | 3075781955 |
| Practice Fax Number | 3075781979 |
| Mailing Telephone | 3075781955 |
| Mailing Fax Number | 3075781979 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
207 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
306 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BUTTE MT | 000094353 | 01 |
| MT | 0439535 | 05 | |
| WY | BLUE CROSS | 3110550 | 01 |
| WY | 117477100 | 05 | |
| MT | EBMS | 810511516021 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134570898 | John Vipperman | Specialist/Technologist | 18109 Prince Philip Dr, Olney, MD 20832 | 2016-06-23 |
| Street Address |
3030 BIG HORN AVE |
| City | CODY |
| State | WY |
| Zip Code | 82414-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669469227 | Glen Jeffrey Poffenbarger | Neurological Surgery | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2005-09-29 |
| 1306405790 | Jennifer Lindsay Warner | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2019-06-10 |
| 1053821066 | Kayla Nagle | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2017-10-04 |
| 1487815742 | Rachael M. Bracke | Hospitalist | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2008-06-19 |
| 1568667145 | Jared T Lee | Orthopaedic Surgery | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2007-06-15 |
| 1134249725 | Big Horn Basin Bone & Joint, LLC | Orthopaedic Surgery | 3030 Big Horn Ave, Cody, WY 82414 | 2007-03-29 |
| 1922104595 | Kerry Bower | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2006-09-14 |
| 1790764520 | Brett J Argeris | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1770529703 | Kelly K. Simone | Physician Assistant | 424 Yellowstone Ave Ste 120, Cody, WY 82414-9311 | 2006-06-20 |
| 1063828291 | Sterling T. Fenwick | Physician Assistant | 720 Lindsay Ln Ste C, Cody, WY 82414-4143 | 2014-07-09 |
| 1629034848 | Sally J Whitman | Physician Assistant | 721 Sheridan Ave, Ste 220, Cody, WY 82414-3423 | 2006-04-25 |
| 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 |
| 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 |
| 1851318422 | Patricia Ann Brown | Physician Assistant | 1208 S. River St., Saratoga, WY 82331-0650 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHN R VIPPERMAN.
| 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.