LARRY VENGENDEREN (NPI# 1184638165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184638165 |
| Entity Type | Individual |
| Full Name | LARRY VENGENDEREN |
| Credential | MD |
| Practice Address |
1909 Vista Dr Laramie WY 82070 |
| Practice Telephone | 3077458851 |
| Practice Fax Number | 3077420961 |
| Mailing Telephone | 3077458851 |
| Mailing Fax Number | 3077420961 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
2300A | WY | Allopathic & Osteopathic Physicians |
| Street Address |
1909 VISTA DR |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982645636 | Peter E Bergquist | Orthopaedic Surgery | 6600 E 2nd Street, Casper, WY 82609-4348 | 2006-06-10 |
| 1972701381 | Wyoming Orthopedic and Sports Medicine, LLC | Orthopaedic Surgery | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2007-07-06 |
| 1568667145 | Jared T Lee | Orthopaedic Surgery | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2007-06-15 |
| 1518047588 | Bruce D Smith | Orthopaedic Surgery | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2006-10-16 |
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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.