DAVE R BRUMBAUGH (NPI# 1114907722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114907722 |
| Entity Type | Individual |
| Full Name | DAVE R BRUMBAUGH |
| Credential | PA-C |
| Practice Address |
1909 Vista Dr Laramie WY 82070-5530 |
| Practice Telephone | 3077458851 |
| Practice Fax Number | 3077420961 |
| Mailing Telephone | 3077458851 |
| Mailing Fax Number | 3077420961 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
388 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6826364 | 05 |
| Street Address |
1909 VISTA DR |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775862 | Stephen B Kaiser | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070 | 2006-01-18 |
| 1962013433 | Teagan Young | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2020-08-10 |
| 1003393984 | Erena Hintsa | Physician Assistant | 1909 Vista Dr, Laramie, WY 82070-5599 | 2018-07-24 |
| 1669968848 | Rhiannan Kay Rubino | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2018-07-10 |
| 1497249981 | Heather Rose O'donnell | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5599 | 2018-06-18 |
| 1316480478 | Michael Zelyez | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2016-11-22 |
| 1427418136 | Cinthy Carson | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2016-02-24 |
| 1447641717 | Rebecca Nordin | Registered Nurse | 1909 Vista Dr, Laramie, WY 82070-5530 | 2015-02-09 |
| 1437566908 | Amy Shepard | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2014-07-16 |
| 1427488279 | Torrie Irene | Registered Nurse | 1909 Vista Dr, Laramie, WY 82070-5530 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093132706 | Karla Martinez Chapman | Physician Assistant | 204 Mccollum St, Ste 203, Laramie, WY 82070-5127 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206670 | Tim Joe Ficken | Physician Assistant | 2110 Sioux Trl, Bar Nunn, WY 82601-7611 | 2017-06-30 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1285070326 | Ryan R Wallace | Physician Assistant | 7226 Crested Butte Dr, Cheyenne, WY 82009-3629 | 2013-05-16 |
| 1275175622 | Moriahn Bunney | Physician Assistant | 2901 Powder Basin Ave, Gillette, WY 82718-6406 | 2019-10-16 |
| 1508373630 | First Assist Associates, LLC | Physician Assistant | 2110 Sioux Trl, Bar Nunn, WY 82601-7611 | 2018-01-10 |
| 1356702559 | Anna Woollacott | Physician Assistant | 6600 E 2nd St, Casper, WY 82609-4348 | 2016-03-15 |
| 1760841696 | Brady Esplin | Physician Assistant | 901 Adams St, Afton, WY 83110-9621 | 2016-02-20 |
| 1265816466 | Tristyn Richendifer | Physician Assistant | 808 Riverbend Dr, Douglas, WY 82633-2054 | 2015-07-17 |
| 1255768644 | Stephanie Marie Pierce | Physician Assistant | 6600 E 2nd St, Central Wyoming Neurosurgery, Casper, WY 82609 | 2013-10-01 |
| 1073756151 | Nikki Lynn Fedel | Physician Assistant | 6600 E 2nd St, Casper, WY 82609-4348 | 2009-04-20 |
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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.