BACKCOUNTRY DOX, LLC (NPI# 1265047773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265047773 |
| Entity Type | Organization |
| Organization Name | BACKCOUNTRY DOX, LLC |
| Practice Address |
1320 Morado Dr Casper WY 82609 |
| Mailing Address |
301 Thelma Dr # 440 Casper WY 82609-2325 |
| Practice Telephone | 3072586618 |
| Practice Fax Number | 8778502332 |
| Mailing Telephone | 3072586618 |
| Mailing Fax Number | 8778502332 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | DR. NATHAN KER (PHYSICIAN OWNER) |
| Authorized Official Telephone | 3072586618 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1320 MORADO DR |
| City | CASPER |
| State | WY |
| Zip Code | 82609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1528346343 | Jessica Ann Baughman | Physical Therapist | 1541 Centennial Court, Casper, WY 82609 | 2011-07-27 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598028698 | Nickolas Grant Harker | Family Medicine | 3632 American Way Ste A, Casper, WY 82601-3164 | 2012-06-22 |
| 1376710707 | Han Kuang Chen | Family Medicine | 1900 S Missouri Ave, Apt. #3128, Casper, WY 82609-3308 | 2008-05-14 |
| 1326223751 | Eric Lawrence | Family Medicine | 5840 E 2nd St Ste 200, Casper, WY 82609-4363 | 2008-01-03 |
| 1346434487 | Brubaker Family Practice, P.C. | Family Medicine | 1311 E 3rd St, Casper, WY 82601-2934 | 2007-08-31 |
| 1437231552 | Elbridge Lee Brubaker | Family Medicine | 1311 East 3rd St, Casper, WY 82601 | 2006-10-19 |
| 1053426759 | Johnny M Tooke | Family Medicine | 2241 Farnum Ste 105, Casper, WY 82609 | 2006-08-20 |
| 1558375477 | Dana Ray Ideen | Family Medicine | 1315 E A St, Casper, WY 82601-2212 | 2006-07-28 |
| 1851337984 | Grady King Snyder Jr. | Family Medicine | 3443 Alpine Dr, Casper, WY 82601-5917 | 2006-06-20 |
| 1518905595 | Michele R Mohr | Family Medicine | 5715 E 2nd St, Casper, WY 82609-4322 | 2006-06-03 |
| 1174573661 | Eugene P Duquette | Family Medicine | 1233 E 2nd Street, Casper, WY 82601-4815 | 2006-05-12 |
| Find all providers in CASPER | ||||
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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.