Dana Ray Ideen (NPI# 1558375477, PAC ID# 7719172956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558375477 |
| PAC ID by PECOS | 7719172956 |
| Professional Enrollment ID | I20101112000637 |
| Full Name | Dana Ray Ideen |
| Address |
1315 E A St Casper WY 82601-2212 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 530034 | SUMMIT MEDICAL CENTER |
| 530012 | WYOMING MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1315 E A St, Casper, WY 82601-2212 |
| Street Address |
1315 E A ST |
| City | CASPER |
| State | WY |
| Zip | 82601-2212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Scott Bevan | Podiatry | 1950 E Beverly St, Casper, WY 82601 | |
| Jennifer L Greenup | Clinical Social Worker | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 | |
| Kelly N Dornbier | Occupational Therapy | The Shriver Therapy Group, Inc. | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 |
| Marla J Wonser | Occupational Therapy | The Shriver Therapy Group, Inc. | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 |
| Amy E Linam | Speech Language Pathologist | The Shriver Therapy Group, Inc. | 800 Werner Ct, Casper, WY 82601-1325 |
| Lisa Lynne Love | Clinical Social Worker | 800 Werner Ct, Suite D, Casper, WY 82601-1326 | |
| Elizabeth K Brummett | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Sandra S Milliken | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Kelly L Shipley | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Patrice J Lichliter | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Find all physicians in zip 82601 | |||
| City | CASPER |
| Zip Code | 82601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CASPER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dana Ray Ideen.
| 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.