JONATHAN EDWARD PARRACK (NPI# 1043453046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043453046 |
| Entity Type | Individual |
| Full Name | JONATHAN EDWARD PARRACK |
| Credential | D.O. |
| Practice Address |
1441 Wilkins Cir Casper WY 82601-1337 |
| Mailing Address |
Po Box 12313 Prescott AZ 86304-2313 |
| Practice Telephone | 3072332700 |
| Mailing Telephone | 9286425891 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2018-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | DO1692 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
006486 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1441 WILKINS CIR |
| City | CASPER |
| State | WY |
| Zip Code | 82601-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885233 | Amanda L. Phillips | Nurse Anesthetist, Certified Registered | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2005-07-18 |
| 1972130565 | Breck Groskreutz | Physician Assistant | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2020-03-24 |
| 1669822201 | Jamie Benson | Nurse Practitioner | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2016-06-14 |
| 1962745257 | Aaron Ray Rutz | Nurse Practitioner | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2013-04-04 |
| 1962635300 | Steven C Coxe | Physician Assistant | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2009-09-02 |
| 1265617724 | Tracy Lynn Amadio | Nurse Practitioner | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2008-01-03 |
| 1245436609 | Anna Marie Knopp | Registered Nurse | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2007-06-22 |
| 1881635803 | Mark Milone | Internal Medicine | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2006-06-09 |
| 1740220953 | Karin Diane Berg | Pathology | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2006-06-07 |
| 1962477539 | Casper Wy Endoscopy Asc LLC | Clinic/Center | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518179126 | Jeffrey W Cloud | Internal Medicine | 1026 E 2nd St, Casper, WY 82601-2902 | 2007-05-04 |
| 1336799121 | Digestive Care Specialists, LLC | Internal Medicine | 1026 E 2nd St, Casper, WY 82601-2902 | 2019-09-13 |
| 1689784373 | Raoul Joubran | Internal Medicine | 1441 Wilkins Circle, Gastroenterology Associates PC, Casper, WY 82601 | 2006-08-30 |
| 1932219623 | Phillip Thomas Krmpotich | Internal Medicine | 1441 Wilkins Circle, Gastroenterology Associates PC, Casper, WY 82601 | 2006-08-30 |
| 1578673265 | Kent Douglas Katz | Internal Medicine | 1441 Wilkins Circle, Gastroenterology Associates PC, Casper, WY 82601 | 2006-08-30 |
| 1982714671 | Charla Wilma Grace Bright | Internal Medicine | 1441 Wilkins Circle, Gastroenterology Associates PC, Casper, WY 82601 | 2006-08-30 |
| 1881635803 | Mark Milone | Internal Medicine | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811909807 | Gastroenterology Associates PC | Internal Medicine | 1441 Wilkins Circle, Gastroenterology Associates PC, Capser, WY 82601 | 2006-08-12 |
| 1508807223 | Charles L Kuckel | Internal Medicine | 305 Storey Blvd Apt 3, Cheyenne, WY 82009-3579 | 2006-06-10 |
| 1740222462 | Kenneth R Kranz | Internal Medicine | 2301 House Ave Ste 300, Cheyenne, WY 82001-3178 | 2006-06-10 |
| 1881634095 | John W Beckman | Internal Medicine | 6821 Valley View Pl, Cheyenne, WY 82009-2558 | 2006-06-07 |
| 1518586114 | Poudre Valley Medical Group, LLC | Internal Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-04-14 |
| 1144390006 | Scott Victor Mcrae | Internal Medicine | 2301 House Ave, Suite 300, Cheyenne, WY 82001-3176 | 2006-11-08 |
| 1922118611 | Robert Anthony Schlidt | Internal Medicine | 1441 Wilkins Circle, Gastroenterology Associates PC, Capser, WY 82601 | 2006-08-30 |
| 1639152614 | Peter George Perakos | Internal Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2005-11-23 |
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| 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.