Jonathon D Medina (NPI# 1942219803, PAC ID# 0941235675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1942219803 |
| PAC ID by PECOS | 0941235675 |
| Professional Enrollment ID | I20110929000071 |
| Full Name | Jonathon D Medina |
| Organization Legal Name | CHEYENNE REGIONAL PHYSICIANS GROUP LLC |
| Address |
1950 Bluegrass Cir Suite 200 Cheyenne WY 82009-7364 |
| Phone Number | 3077782577 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2961403639 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530014 | CHEYENNE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1950 Bluegrass Cir, Suite 200, Cheyenne, WY 82009-7364 | 3077782577 | CHEYENNE REGIONAL PHYSICIANS GROUP LLC |
| 820 E 17th St, Cheyenne, WY 82001-4714 | 3076322434 | UNIVERSITY OF WYOMING |
| Organization Legal Name | CHEYENNE REGIONAL PHYSICIANS GROUP LLC |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omar Al Dhaybi | Nephrology | Cheyenne Regional Physicians Group LLC | 4116 Laramie St, Cheyenne, WY 82001-1969 |
| Martha H Silver | Otolaryngology | Cheyenne Regional Physicians Group LLC | 4620 Grandview Ave, Suite 201, Cheyenne, WY 82009-4964 |
| Michael David Scott | Physician Assistant | Cheyenne Regional Physicians Group LLC | 4017 Rawlins St, Cheyenne, WY 82001-1800 |
| Samina Ayub | Family Medicine | Cheyenne Regional Physicians Group LLC | 4116 Laramie St, Cheyenne, WY 82001-1969 |
| May Katharine Collins Lehman | Physician Assistant | Cheyenne Regional Physicians Group LLC | 4116 Laramie St, Cheyenne, WY 82001-1969 |
| Kristen Trefren | Nurse Practitioner | Cheyenne Regional Physicians Group LLC | 4116 Laramie St, Cheyenne, WY 82001-1969 |
| Hoo Feng Choo | Infectious Disease | Cheyenne Regional Physicians Group LLC | 4116 Laramie St, Cheyenne, WY 82001-1969 |
| Robert T Kelley | Family Medicine | Cheyenne Regional Physicians Group LLC | 4116 Laramie St, Cheyenne, WY 82001-1969 |
| Lisa Kay Burton | General Surgery | Cheyenne Regional Physicians Group LLC | 4116 Laramie St, Cheyenne, WY 82001-1969 |
| Casey Nicole Watkins | Nephrology | Cheyenne Regional Physicians Group LLC | 4116 Laramie St, Cheyenne, WY 82001-1969 |
| Street Address |
1950 BLUEGRASS CIR SUITE 200 |
| City | CHEYENNE |
| State | WY |
| Zip | 82009-7364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael I Thomas | Podiatry | Anderson Podiatry Center PC | 1950 Bluegrass Cir, Cheyenne, WY 82009-7362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawna E Hibbler | Clinical Social Worker | Liv In Home Counseling and Care Management LLC | 1745 Silver Spur Rd, Cheyenne, WY 82009-1206 |
| Nathaniel Mason Beaty | Physician Assistant | Americas Express Urgent Care, LLC | 7124 Commons Dr, Unit C, Cheyenne, WY 82009-2620 |
| Robin M Duncan | Nurse Practitioner | Americas Express Urgent Care, LLC | 7124 Commons Dr, Unit C, Cheyenne, WY 82009-2620 |
| Bruce W Weber | Chiropractic | 7124 Commons Dr, Unit D, Cheyenne, WY 82009-2620 | |
| Molly E Means | Physician Assistant | Americas Express Urgent Care, LLC | 7124 Commons Dr, Unit C, Cheyenne, WY 82009-2620 |
| Brant Christensen | Qualified Audiologist | 7215 Commons Cir, Unit C, Cheyenne, WY 82009-2666 | |
| Robert M Cline | Certified Registered Nurse Anesthetist (crna) | Frontier Anesthesia LLC | 7220 Commons Cir, Cheyenne, WY 82009-2673 |
| Jessica L Wiedman | Certified Registered Nurse Anesthetist (crna) | Frontier Anesthesia LLC | 7220 Commons Cir, Cheyenne, WY 82009-2673 |
| Kenneth S Buran | Gastroenterology | Digestive Health Associates of Cheyenne | 7212 Commons Dr, Cheyenne, WY 82009-2675 |
| Scott V Mcrae | Gastroenterology | Digestive Health Associates of Cheyenne | 7212 Commons Dr, Cheyenne, WY 82009-2675 |
| Find all physicians in zip 82009 | |||
| City | CHEYENNE |
| Zip Code | 82009 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHEYENNE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.