Sara E Malsom (NPI# 1033528666, PAC ID# 2961712385) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033528666 |
| PAC ID by PECOS | 2961712385 |
| Professional Enrollment ID | I20151113001309 |
| Full Name | Sara E Malsom |
| Organization Legal Name | GLENROCK HOSPITAL DISTRICT |
| Address |
925 W Birch St Suite 786 Glenrock WY 82637-0786 |
| Phone Number | 3074369206 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8527976828 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 530034 | SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 925 W Birch St, Suite 786, Glenrock, WY 82637-0786 | 3074369206 | GLENROCK HOSPITAL DISTRICT |
| Organization Legal Name | GLENROCK HOSPITAL DISTRICT |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly J Plessman | Nurse Practitioner | Glenrock Hospital District | 925 W Birch St, Suite 786, Glenrock, WY 82637-0786 |
| Audrey N Boespflug | Clinical Social Worker | Glenrock Hospital District | 925 W Birch St, Suite 786, Glenrock, WY 82637-0786 |
| Street Address |
925 W BIRCH ST SUITE 786 |
| City | GLENROCK |
| State | WY |
| Zip | 82637-0786 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly J Plessman | Nurse Practitioner | Glenrock Hospital District | 925 W Birch St, Suite 786, Glenrock, WY 82637-0786 |
| Audrey N Boespflug | Clinical Social Worker | Glenrock Hospital District | 925 W Birch St, Suite 786, Glenrock, WY 82637-0786 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marissa Wooden | Physical Therapy | Wind City Physical Therapy | 925 Birch St, Glenrock, WY 82637 |
| Hannah Louisa Kesler | Physical Therapy | Wind City Physical Therapy | 925 Birch St, Glenrock, WY 82637 |
| City | GLENROCK |
| Zip Code | 82637 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLENROCK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Sara E Malsom.
| 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.