PAUL J JACQUAY (NPI# 1053554402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053554402 |
| Entity Type | Individual |
| Full Name | PAUL J JACQUAY |
| Credential | PA-C |
| Practice Address |
2508 E Fox Farm Rd Ste 1a Cheyenne WY 82007-2559 |
| Practice Telephone | 3076353618 |
| Practice Fax Number | 3076351442 |
| Mailing Telephone | 3076353618 |
| Mailing Fax Number | 3076351442 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2010-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 471 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2508 E FOX FARM RD STE 1A |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82007-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598216541 | Michelle Anne Dowling | Nurse Practitioner | 2508 E Fox Farm Rd Ste 1a, Cheyenne, WY 82007-2559 | 2016-10-14 |
| 1285052274 | Megan K Tobin | Dentist | 2508 E Fox Farm Rd Ste 1a, Cheyenne, WY 82007-2559 | 2014-04-07 |
| 1710295092 | Ben Ronald Chesebro | Dentist | 2508 E Fox Farm Rd Ste 1a, Cheyenne, WY 82007-2559 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788102 | Melanie Ann Traas | Speech-Language Pathologist | 236 Parsley Blvd, Cheyenne, WY 82007 | 2017-09-05 |
| 1083135701 | Courtney Jo Tatum | Case Manager/Care Coordinator | 209 Stanfield Ave, Cheyenne, WY 82007 | 2017-07-03 |
| 1679838056 | Ryan Wayne Ackerman | Counselor | 117 West 9th Street, Cheyenne, WY 82007 | 2012-07-11 |
| 1992932420 | Libby Jane Phillips | Pharmacist | 700 S. Greeley Hwy, Cheyenne, WY 82007 | 2009-06-11 |
| 1043382336 | Dale C Brentlinger | Internal Medicine | 2508 E Fox Farm Road, #1a, Cheyenne, WY 82007 | 2006-11-14 |
| 1841273901 | Ryan C Benne | Chiropractor | 2809 Evans Ave, Cheyenne, WY 82007 | 2005-11-22 |
| 1386632594 | Cheyenne Health & Wellness Center | Clinic/Center | 2508 East Fox Farm Road, Suite 1a, Cheyenne, WY 82007 | 2005-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1811030554 | Stride Learning Center | Clinic/Center | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2007-02-14 |
| 1568006443 | Audrey Marie Saling | Occupational Therapist | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2019-11-04 |
| Find all providers in zip 82007 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
| 1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
| 1578993671 | Jessica Henry | Physician Assistant | 4140 Laramie St, Cheyenne, WY 82001-1969 | 2013-11-26 |
| 1982942132 | Molly E Means | Physician Assistant | 7124 Commons Dr C, Cheyenne, WY 82009-2620 | 2013-01-23 |
| 1710279757 | Michael Jason Sprosty | Physician Assistant | 4600 Powderhouse Rd, Cheyenne, WY 82009-7324 | 2011-05-10 |
| 1073795365 | Lori Ann Meadors | Physician Assistant | 2301 House Ave Ste 201, Cheyenne, WY 82001-3177 | 2007-11-29 |
| 1114007028 | Michael D Scott | Physician Assistant | 4136b Laramie Street, Cheyenne, WY 82001-1969 | 2006-10-16 |
| 1982713764 | Julie C Whitesell | Physician Assistant | 7124 Commons Dr Unit C, Cheyenne, WY 82009-2620 | 2006-08-29 |
| 1720003189 | Lynda Dianne Bentley | Physician Assistant | 101 Fk Buster Ave, Cheyenne, OK 73628 | 2006-07-13 |
| 1083697064 | Corey Lynn Ernst | Physician Assistant | 2003 Bluegrass Circle, Cheyenne, WY 82009 | 2005-11-23 |
| Find all providers in CHEYENNE | ||||
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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.