DR. RICHARD B SOUTHWELL (NPI# 1265412225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265412225 |
| Entity Type | Individual |
| Full Name | DR. RICHARD B SOUTHWELL |
| Credential | MD |
| Practice Address |
1909 Vista Dr Laramie WY 82070-5530 |
| Practice Telephone | 3077458851 |
| Practice Fax Number | 3077420961 |
| Mailing Telephone | 3077458851 |
| Mailing Fax Number | 3077420961 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2009-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 3077A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 305410 | 01 | |
| RAILROAD MEDICARE | 200009950 | 01 | |
| WY | 100342900 | 05 |
| Street Address |
1909 VISTA DR |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-5530 |
| 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 |
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| 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 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023295938 | Mark E. Mckenna | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070-5530 | 2008-01-23 |
| 1962548016 | Eric Brent Harris | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070-5530 | 2007-01-29 |
| 1720019060 | Timothy C. Gueramy | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070-5599 | 2006-07-05 |
| 1417912858 | Ryan A Aukerman | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070-5599 | 2006-04-19 |
| 1568442523 | Jay G Carson | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070 | 2006-01-18 |
| 1558341412 | Daniel F Levene | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871997213 | David Scott Nickerson | Orthopaedic Surgery | 56 Crown Dr, Big Horn, WY 82833 | 2014-10-14 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1578892972 | L.f.kroner IIi Md PC | Orthopaedic Surgery | 3950 Trail Dr, Jackson, WY 83001-9287 | 2009-12-14 |
| 1497982177 | Hiller Orthopedic Associates, LLC | Orthopaedic Surgery | 1223 E Park Ave, Riverton, WY 82501-3876 | 2009-06-19 |
| 1306091046 | Samuel Wray Linford | Orthopaedic Surgery | 120 Hospital Ln, Afton, WY 83110-9409 | 2008-11-21 |
| 1689839003 | Gem City Bone & Joint | Orthopaedic Surgery | 2250 College Dr, Rock Springs, WY 82901 | 2008-07-24 |
| 1174703961 | George G. Richardson Md PC | Orthopaedic Surgery | 1106 Big Horn Ave, Worland, WY 82401-2803 | 2007-11-08 |
| 1376765826 | Beartooth Orthopaedic & Spine PC | Orthopaedic Surgery | 702 Platinum Ave, Cody, WY 82414-3423 | 2007-05-03 |
| 1760521702 | David Khoury Iv | Orthopaedic Surgery | Teton Orthopaedics, 555 E. Broadway, Jackson, WY 83001 | 2007-02-06 |
| 1538239454 | Kenneth William Schulze Jr. | Orthopaedic Surgery | 2012 W Elm Street, Rawlins, WY 82301 | 2006-11-08 |
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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.