WESTERN MEDICAL ASSOCIATES, L.L.C. DIAGNOSTICS AND IMAGING (NPI# 1235274523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235274523 |
| Entity Type | Organization |
| Organization Name | WESTERN MEDICAL ASSOCIATES, L.L.C. DIAGNOSTICS AND IMAGING |
| Practice Address |
6500 E 2nd St Suite 100 Casper WY 82609-4321 |
| Mailing Address |
6500 E 2nd St Suite 200 Casper WY 82609-4321 |
| Practice Telephone | 3075775100 |
| Practice Fax Number | 3072330610 |
| Mailing Telephone | 3075775100 |
| Mailing Fax Number | 3072330610 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | TIM FRARY (MANAGING PARTNER) |
| Authorized Official Telephone | 3075775100 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN MEDICAL AND NEUROSCIENCE ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS / BLUE SHIELD | 05908001 | 01 |
| Street Address |
6500 E 2ND ST SUITE 100 |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450163 | Jay A Swedberg | Family Medicine | 6500 E 2nd St, Suite 200, Casper, WY 82609-4338 | 2005-07-07 |
| 1114402849 | Jamie Catherine Kidder | Nurse Practitioner | 6500 E 2nd St, Casper, WY 82609-4338 | 2018-09-28 |
| 1184926941 | Regional West Medical Center | Clinical Medical Laboratory | 6500 E 2nd St, Suite 201, Casper, WY 82609-4339 | 2010-11-30 |
| 1780912246 | Matthew Ryan Moore | Family Medicine | 6500 E 2nd St, Suite 200, Casper, WY 82609-4338 | 2009-11-20 |
| 1922335579 | Brehan Aline Newell | Family Medicine | 6500 E 2nd St, Suite 200, Casper, WY 82609-4338 | 2009-11-03 |
| 1881764223 | Karri K Reliford | Physician Assistant | 6500 E 2nd St, Ste 200, Casper, WY 82609-4338 | 2006-11-09 |
| 1124034566 | Sherrill A Fox | Family Medicine | 6500 E 2nd St, Suite 200, Casper, WY 82609-4338 | 2006-07-31 |
| 1841214954 | Jonathan P Binder | Family Medicine | 6500 E 2nd St, Ste 200, Casper, WY 82609-4338 | 2006-07-26 |
| 1740233071 | Joseph K Schoeber | Family Medicine | 6500 E 2nd St, Suite 200, Casper, WY 82609-4338 | 2006-05-18 |
| 1275583965 | Western Medical Associates, LLC | Physician Assistant | 6500 E 2nd St, Suite 200, Casper, WY 82609-4321 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487111951 | Kelsi Roth | Radiologic Technologist | 1323 Holmes Ave, Sheridan, WY 82801-2230 | 2019-02-20 |
| 1285087684 | Andrew Marcarelli | Radiologic Technologist | 29 Black Coal Dr, Ft Washakie, WY 82514 | 2016-07-20 |
| 1598158719 | Melba Lee | Radiologic Technologist | 29 Black Coal Road, Fort Washakie, WY 82514 | 2015-03-12 |
| 1821425026 | Shelby Zentner | Radiologic Technologist | 14 Great Plains Road, Arapahoe, WY 82510 | 2013-10-02 |
| 1962749572 | Courtnie Stringham | Radiologic Technologist | Black Coal Rd Bldg 29, Fort Washakie, WY 82514-0128 | 2013-01-16 |
| 1366774101 | Robin Nicole Neubauer | Radiologic Technologist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2010-02-04 |
| 1245427988 | Thomas Glen Asay | Radiologic Technologist | 777 Avenue H, Powell, WY 82435-2260 | 2007-09-26 |
| 1558585737 | Gem City Bone & Joint | Radiologic Technologist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2007-04-12 |
| 1649326687 | Castle Rock Special Hospital District | Radiologic Technologist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2007-01-25 |
| 1710097647 | Valley Xray LLC | Radiologic Technologist | 124 Petersen Parkway, 124 Petersen Parkway Suite 2, Thayne, WY 83127 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
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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.