RIVERTON PHYSICIAN PRACTICES LLC (NPI# 1083865554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083865554 |
| Entity Type | Organization |
| Organization Name | RIVERTON PHYSICIAN PRACTICES LLC |
| Other Organization Name | WIND RIVER ONCOLOGY |
| Practice Address |
1035 Rose Ln Suite D Riverton WY 82501-2286 |
| Mailing Address |
Po Box 758 Post Falls ID 83877-0758 |
| Practice Telephone | 3078564688 |
| Mailing Telephone | 2087736400 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | MR. WILLIAM M. GRACEY (COO) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wind River Oncology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619236791 | Riverton Physician Practices LLC | Internal Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2012-05-10 |
| 1669702163 | Riverton Physician Practices LLC | Psychiatry & Neurology | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2010-01-05 |
| 1326377920 | Riverton Physician Practices LLC | Podiatrist | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2009-12-10 |
| 1174858302 | Riverton Physician Practices LLC | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2009-10-06 |
| 1497982805 | Riverton Physician Practices LLC | Orthopaedic Surgery | 1005 College View Dr, Suite 9, Riverton, WY 82501-2266 | 2009-06-12 |
| Street Address |
1035 ROSE LN SUITE D |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-2286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912419623 | Lora Lea Koenig | Registered Nurse | 1035 Rose Ln, Riverton, WY 82501-2291 | 2017-11-03 |
| 1770990426 | Rendezvous Medical | Clinic/Center | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2014-07-15 |
| 1366735466 | Rendezvous Medical | Pediatrics | 1035 Rose Ln, Suite B, Riverton, WY 82501-2286 | 2011-05-23 |
| 1104065200 | Riverton Oncology Practice,llc | Internal Medicine | 1035 Rose Ln, Ste D, Riverton, WY 82501-2286 | 2009-02-12 |
| 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 | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225002413 | Joseph David Rosen | Internal Medicine | 6501 E 2nd St, Casper, WY 82609-4293 | 2006-02-14 |
| 1316119639 | Diane C. Henshaw, M.d., P.C. | Internal Medicine | 6501 E 2nd St, Casper, WY 82609-4293 | 2008-03-26 |
| 1003952821 | Wyoming Cancer Specialists LLC | Internal Medicine | 400 2nd St, Suite D, Rock Springs, WY 82901-6260 | 2007-01-29 |
| 1487607180 | Banu E Symington | Internal Medicine | 1180 College Dr, Rock Springs, WY 82901-5863 | 2006-05-17 |
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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.