ANDREA CHISHOLM (NPI# 1265571046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265571046 |
| Entity Type | Individual |
| Full Name | ANDREA CHISHOLM |
| Credential | MD |
| Practice Address |
424 Yellowstone Ave Ste 330 Cody WY 82414 |
| Mailing Address |
707 Sheridan Ave Cody WY 82414-3409 |
| Practice Telephone | 3075782770 |
| Mailing Telephone | 3075277501 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 11313A | WY | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 155750 | MA | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
155750 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Highland St, Suite 103, Salem, MA 019701559 | 9787412500 | 9787411146 |
| Street Address |
424 YELLOWSTONE AVE STE 330 |
| City | CODY |
| State | WY |
| Zip Code | 82414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659677821 | Laura Lou Pleban | Registered Nurse | 424 Yellowstone Ave Ste 330, Cody, WY 82414 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477995454 | Camille Stephanie Mellijor-figg | Obstetrics & Gynecology | 430 S Cache St, Jackson, WY 83001-8692 | 2013-07-19 |
| 1003115577 | Stephen A. Hickner, M.d., LLC | Obstetrics & Gynecology | 8160 Highway 789, Lander, WY 82520-2953 | 2011-03-22 |
| 1871803874 | Cy Edwards Md of Wy, PC | Obstetrics & Gynecology | 940 E 3rd St., Suite 211, Casper, WY 82601-3251 | 2010-10-12 |
| 1588977250 | James Lloyd | Obstetrics & Gynecology | 777 Ave H., Powell Valley Healthcare, Powell, WY 82435 | 2010-07-22 |
| 1215266705 | Casper Women's Care, PC | Obstetrics & Gynecology | 770 East 2nd, Casper, WY 82601-2621 | 2009-12-14 |
| 1942537717 | Robert George Ouellette | Obstetrics & Gynecology | 1081 Decker Rd, Sheridan, WY 82801-9653 | 2009-11-15 |
| 1821225160 | Robert Morris Wagner | Obstetrics & Gynecology | 1004 Erie Dr, Buffalo, WY 82834-2587 | 2009-06-13 |
| 1063656536 | Jack Vernon Richard | Obstetrics & Gynecology | 3500 Hat Six Road, Casper, WY 82609 | 2009-04-28 |
| 1710126420 | Arthur C Pollack | Obstetrics & Gynecology | 68 Hanna Creek Rd, Big Horn, WY 82833-0533 | 2009-02-19 |
| 1134272917 | Casper Obstetrical and Gynecological Associates PC | Obstetrics & Gynecology | 150 North Melrose St., Casper, WY 82601-2735 | 2007-01-18 |
| 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.