MOUNTAIN VALLEY FOOT CLINIC INC (NPI# 1235157173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235157173 |
Entity Type | Organization |
Organization Name | MOUNTAIN VALLEY FOOT CLINIC INC |
Practice Address |
904 West Sunset Dr Riverton WY 82501 |
Mailing Address |
Po Box 6009 Riverton WY 82501 |
Practice Telephone | 3078561223 |
Practice Fax Number | 3078570488 |
Mailing Telephone | 3078561223 |
Mailing Fax Number | 3078570488 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SYLVIA J TROTTER (PODIATRIST OWNER) |
Authorized Official Telephone | 3078561223 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 112 | WY | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | BCBS | 311535 | 01 |
Street Address |
904 WEST SUNSET DR |
City | RIVERTON |
State | WY |
Zip Code | 82501 |
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 | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881091601 | Ingrown Toenails Only | Podiatrist | 4019 W 12600 S Ste 120b, Riverton, UT 84096-7401 | 2014-11-21 |
1427110022 | Dwayne Andrew Booth | Podiatrist | 238 Railway Plaza, Riverton, WY 82501 | 2006-12-14 |
1386645398 | Mark R Elkins Dpm PC | Podiatrist | 4019 W 12600 S, Suite 120, Riverton, UT 84096-7302 | 2005-08-02 |
1124027453 | Mark R Elkins | Podiatrist | 4019 W 12600 South, Suite 120, Riverton, UT 84096-7302 | 2005-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558583716 | Richard Scott Bevan | Podiatrist | 998 County Road 148, Smoot, WY 83126 | 2007-05-03 |
1093850117 | Michael Paul Wilkinson | Podiatrist | 2233 E 2nd St, Casper, WY 82609-2050 | 2007-02-20 |
1275623001 | Timothy Fisher | Podiatrist | 4112 Laramie St, Cheyenne, WY 82001-1969 | 2006-10-13 |
1619068897 | Daniel Scott Allen | Podiatrist | 501 S. Burma Avenue, Suite 3500, Gillette, WY 82716-3426 | 2006-09-27 |
1134194020 | Monica Schweinberger | Podiatrist | 2360 East Pershing Blvd., Va Medical Center, Cheyenne, WY 82001 | 2006-02-22 |
1972503985 | John Wendel Aaron IIi | Podiatrist | 1471 Dewar Dr, Suite 112, Rock Springs, WY 82901-5851 | 2005-08-01 |
1760488407 | Michael D More | Podiatrist | 2029 Bluegrass Cir, Ste 200, Cheyenne, WY 82009-7368 | 2005-06-27 |
1114923463 | Duncan Hugh Fraser | Podiatrist | 777 Avenue H, Powell, WY 82435-2260 | 2005-06-22 |
1922448935 | Geoffrey David Kraemer | Podiatrist | 400 South 15th Street, Worland, WY 82401 | 2013-07-05 |
1497019087 | Daniel Taylor Jones | Podiatrist | 2233 E 2nd St, Casper, WY 82609-2050 | 2012-06-27 |
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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.