Joyce C Surdam (NPI# 1336478643, PAC ID# 3678697620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1336478643 |
| PAC ID by PECOS | 3678697620 |
| Professional Enrollment ID | I20100827000976 |
| Full Name | Joyce C Surdam |
| Organization Legal Name | PREMIUM MENTAL HEALTH INC |
| Address |
1277 N 15th St Laramie WY 82072-2343 |
| Phone Number | 3077426222 |
| Gender | F |
| Graduation Year | 1980 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 2961637129 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1277 N 15th St, Laramie, WY 82072-2343 | 3077426222 | PREMIUM MENTAL HEALTH INC |
| Organization Legal Name | PREMIUM MENTAL HEALTH INC |
| Physicians | 1 |
| Street Address |
1277 N 15TH ST |
| City | LARAMIE |
| State | WY |
| Zip | 82072-2343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Catherine Risley | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Tracy L Amadio | Nurse Practitioner | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Erin M Kyle | Registered Dietitian Or Nutrition Professional | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Kent D Katz | Gastroenterology | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Elizabeth Rogal Smith | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Travis D Klingler | Obstetrics/gynecology | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Anne C Fitzgerald | Psychologist, Clinical | 1465 N 4th St, Suite 113, Laramie, WY 82072-2066 | |
| J'laine Proctor | Nurse Practitioner | 1465 N 4th St, Suite 103, Laramie, WY 82072-2066 | |
| Frances L Price | Psychologist, Clinical | 1465 N 4th St, Suite 101, Laramie, WY 82072-2066 | |
| James K Boo | Physical Therapy | Homestead Physical Therapy PC | 1575 N 4th St, Suite 101, Laramie, WY 82072-2091 |
| Find all physicians in zip 82072 | |||
| City | LARAMIE |
| Zip Code | 82072 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | LARAMIE + CLINICAL PSYCHOLOGIST |
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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.