EPIX ANESTHESIA OF CHEYENNE, PC (NPI# 1174870554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174870554 |
| Entity Type | Organization |
| Organization Name | EPIX ANESTHESIA OF CHEYENNE, PC |
| Practice Address |
2301 House Ave Ste 300 Cheyenne WY 82001-3176 |
| Mailing Address |
3949 Holcomb Bridge Rd Ste 300 Peachtree Corners GA 30092-2294 |
| Practice Telephone | 8447931380 |
| Practice Fax Number | 7705591231 |
| Mailing Telephone | 6785801349 |
| Mailing Fax Number | 7705591231 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | DR. JOSEPH PRUITT (OWNER) |
| Authorized Official Telephone | 7208102955 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | WY | Allopathic & Osteopathic Physicians | |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2301 HOUSE AVE STE 300 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-3176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124134 | Celina Frances Tolge | Psychiatry & Neurology | 2301 House Ave, Suite 203, Cheyenne, WY 82001-3176 | 2005-06-16 |
| 1871098707 | Rachel Kelley Morgan | Physician Assistant | 2301 House Ave, Suite 502, Cheyenne, WY 82001-4165 | 2018-03-23 |
| 1346798675 | North Star Infusion Inc | Pharmacy | 2301 House Ave, Ste 101, Cheyenne, WY 82001-3176 | 2016-09-15 |
| 1891243481 | North Star Infusion Inc | Pharmacy | 2301 House Ave, Suite 101, Cheyenne, WY 82001 | 2016-09-13 |
| 1568815843 | Frontier Anesthesia LLC | Anesthesiologist Assistant | 2301 House Ave, Suite 300, Cheyenne, WY 82001-3176 | 2016-07-21 |
| 1114336781 | Summit Spine and Neurosurgery Associates | Neurological Surgery | 2301 House Ave, Suite 505, Cheyenne, WY 82001-3176 | 2014-08-08 |
| 1073939385 | May Katharine Collins Lehman | Physician Assistant | 2301 House Ave, Suite 301, Cheyenne, WY 82001-3176 | 2014-03-11 |
| 1700172434 | Joanne Laura Hassell | Pediatrics | 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 | 2011-06-21 |
| 1093009698 | Hoo Feng Choo | Internal Medicine | 2301 House Ave, Suite 201, Cheyenne, WY 82001-3176 | 2011-06-01 |
| 1124317995 | Casey Nicole Watkins | Internal Medicine | 2301 House Ave, Suite 207, Cheyenne, WY 82001-3176 | 2011-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778340 | Cassandra A Rivers | Nurse Anesthetist, Certified Registered | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2006-05-18 |
| 1750339081 | Wade Thomas Rutt | Nurse Anesthetist, Certified Registered | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2006-05-05 |
| 1376591438 | Francis William Harris | Nurse Anesthetist, Certified Registered | 2360 E Pershing Blvd, Va Medical Center, Cheyenne, WY 82001-5356 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005336 | Clinic Ketamine, P.C. | Nurse Anesthetist, Certified Registered | 70 Meadow St, Lyman, WY 82937-9008 | 2020-02-20 |
| 1467922468 | Cloud Peak Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1307 W 3rd St Ste B, Gillette, WY 82716-3343 | 2018-12-03 |
| 1548794340 | Amber Knuths | Nurse Anesthetist, Certified Registered | 4514 Running W Dr, Apartment 303, Gillette, WY 82718-2025 | 2017-04-18 |
| 1285972737 | Amanda Raye Zuck | Nurse Anesthetist, Certified Registered | 3100 W Lakeway Rd Ste 3, Gillette, WY 82718-6373 | 2013-01-17 |
| 1912298530 | Justin R Fenus | Nurse Anesthetist, Certified Registered | 190 Seminole Dr, Evanston, WY 82930-6600 | 2011-04-30 |
| 1083785281 | Richard Carver | Nurse Anesthetist, Certified Registered | 195 Overthrust Rd., Evanston, WY 82930-9266 | 2006-11-11 |
| 1104917558 | Jeffrey L Green | Nurse Anesthetist, Certified Registered | 1524 W 5th St, Sheridan, WY 82801-2707 | 2006-09-28 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1558396911 | Gary Max Hess | Nurse Anesthetist, Certified Registered | Star Valley Medical Center, 110 Hospital Lane, Afton, WY 83110 | 2006-07-12 |
| 1316979057 | William David Hamilton | Nurse Anesthetist, Certified Registered | 625 East Broadway, Jackson, WY 83001 | 2006-07-06 |
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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.