BIG HORN BASIN PATHOLOGY, PC (NPI# 1124215553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124215553 |
Entity Type | Organization |
Organization Name | BIG HORN BASIN PATHOLOGY, PC |
Other Organization Name | LEE K. HERMANN, MCPC |
Practice Address |
1008 Cody Ave Cody WY 82414-4118 |
Mailing Address |
707 Sheridan Ave Cody WY 82414-3409 |
Practice Telephone | 3075875802 |
Practice Fax Number | 3075876041 |
Mailing Telephone | 3075875802 |
Mailing Fax Number | 3075876041 |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-12-18 |
Authorized Official Name | DR. PAMELA P ROOT (PROPRIETOR) |
Authorized Official Telephone | 3075875802 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
5112A | WY | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Lee K. Hermann, MCPC | Former Legal Business Name - Organization |
Street Address |
1008 CODY AVE |
City | CODY |
State | WY |
Zip Code | 82414-4118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922091859 | Pamela P Clegg | Pathology | 1008 Cody Ave, Cody, WY 82414-4118 | 2005-08-25 |
1083822795 | Big Horn Basin Pathology | Clinical Medical Laboratory | 1008 Cody Ave, Cody, WY 82414-4118 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
Find all providers in zip 82414 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043615388 | Edward Daniel Hobart Jr. | Pathology | 80 Blacktooth Road, Big Horn, WY 82833-0625 | 2014-10-29 |
1740521665 | Thomas Victor Toft | Pathology | 809 Mylar Park Dr, Cheyenne, WY 82009-4779 | 2013-03-04 |
1689736514 | Linda Ann Yost | Pathology | 3034 Nob Hill Dr, Casper, WY 82601-5302 | 2006-12-15 |
1437144532 | David Felix Sowada | Pathology | 413 Agate St, Rock Springs, WY 82901-6704 | 2005-09-14 |
1376537845 | Cielette M Karn | Pathology | 1200 College Dr, Rock Springs, WY 82901-5868 | 2005-09-09 |
1447516240 | Brian Menkhaus | Pathology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2012-04-05 |
1922378744 | Rebecca Briley Thompson | Pathology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2012-01-10 |
1801181730 | Professional Pathology of Wyoming | Pathology | 1233 E 2nd St, Casper, WY 82601-2926 | 2011-06-20 |
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 |
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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.