BROOKS ALLISON, MD PC (NPI# 1053374876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053374876 |
| Entity Type | Organization |
| Organization Name | BROOKS ALLISON, MD PC |
| Practice Address |
2100 W Sunset Dr Riverton WY 82501-2274 |
| Practice Telephone | 3078573590 |
| Practice Fax Number | 3078573553 |
| Mailing Telephone | 3078573590 |
| Mailing Fax Number | 3078573553 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-19 |
| Authorized Official Name | ARCHIE BROOKS ALLISON (CEO) |
| Authorized Official Telephone | 3078573590 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4404A | WY | Other Service Providers |
| Street Address |
2100 W SUNSET DR |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-2274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710978499 | William Michael Crosby | Anesthesiology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2005-11-02 |
| 1134643604 | Clinical Colleagues Inc | Anesthesiology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2017-07-27 |
| 1295153591 | Riverton Memorial Hospital, LLC | Rehabilitation Unit | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2014-04-03 |
| 1174941520 | Riverton Memorial Hospital, LLC | Psychiatric Unit | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2014-04-02 |
| 1922424506 | Jason Cheng | Emergency Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2014-03-06 |
| 1619236791 | Riverton Physician Practices LLC | Internal Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2012-05-10 |
| 1619274347 | Chukar Haven Anesthesia PC | Nurse Anesthetist, Certified Registered | 2100 W Sunset Dr, Anesthesia - Mullinix, Riverton, WY 82501-2274 | 2011-02-15 |
| 1174858302 | Riverton Physician Practices LLC | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2009-10-06 |
| 1659526606 | Cielette M Karn, Md | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2008-11-18 |
| 1720249899 | Glen Hybarger | Internal Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2008-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336697747 | Pamela Anne Walker | Specialist | 13925 S. Haystack Peak Cir, Riverton, UT 84096-6453 | 2016-09-14 |
| 1871967489 | Mckenzi Lynn Knell | Specialist | 3923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2015-11-19 |
| 1427456482 | Upri Riverton | Specialist | 13322 S 3600 W, Suite 104, Riverton, UT 84065-8024 | 2014-12-08 |
| 1790212413 | Amanda Jensen | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-05-11 |
| 1053843250 | Shaeleigh Jade Knell | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-03-28 |
| 1063952497 | Brittany Steele Baker | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-03-04 |
| 1356881189 | Lara Staats | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-27 |
| 1699215558 | Janae Hamilton | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-26 |
| 1386183754 | Brendon Larimore | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-18 |
| 1417495607 | Sidney Rasher | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-07 |
| Find all providers in RIVERTON | ||||
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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.