CODY SURGICAL ASSOCIATES LLC (NPI# 1326679432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326679432 |
| Entity Type | Organization |
| Organization Name | CODY SURGICAL ASSOCIATES LLC |
| Practice Address |
424 Yellowstone Ave Ste 310 Cody WY 82414-9310 |
| Practice Telephone | 3078993733 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | BONNIE KAY NEWTON (OFFICE MANAGER) |
| Authorized Official Telephone | 3075872139 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
424 YELLOWSTONE AVE STE 310 |
| City | CODY |
| State | WY |
| Zip Code | 82414-9310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649296914 | Randy John Folker | Otolaryngology | 424 Yellowstone Ave Ste 310, Cody, WY 82414-9310 | 2006-07-13 |
| 1154562791 | Thomas H Etter | Surgery | 424 Yellowstone Ave Ste 310, Cody, WY 82414-9310 | 2009-03-11 |
| 1437371523 | Brandi R Shepard | Audiologist | 424 Yellowstone Ave Ste 310, Cody, WY 82414 | 2007-05-02 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649296914 | Randy John Folker | Otolaryngology | 424 Yellowstone Ave Ste 310, Cody, WY 82414-9310 | 2006-07-13 |
| 1164692604 | Billings Otolaryngology PC | Otolaryngology | 720 Lindsay Ln Ste A, Cody, WY 82414-4103 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487980017 | Hart Jacobsen | Otolaryngology | 30 Pheasant Run Dr, Lander, WY 82520-9783 | 2009-11-03 |
| 1235465055 | Robert Eugene Nagy | Otolaryngology | 2359 Squaw Creek Rd, Lander, WY 82520-9624 | 2009-10-29 |
| 1760603138 | Ear, Nose & Throat Center of Wyoming, LLC | Otolaryngology | 196 Arrowhead Dr Ste 5, Evanston, WY 82930-8752 | 2007-05-01 |
| 1922184647 | Scott N Bateman | Otolaryngology | 330 W Dow St, Sheridan, WY 82801-3829 | 2006-10-27 |
| 1205931953 | William P Gibbens | Otolaryngology | 2360 East Pershing Blvd, Cheyenne, WY 82001 | 2006-09-14 |
| 1699723395 | Wind River Ear, Nose & Throat, Inc | Otolaryngology | 8185 Highway 789, Lander, WY 82520-2942 | 2006-05-04 |
| 1578521886 | David Copeland Norcross | Otolaryngology | 2210 King Blvd, Casper, WY 82604 | 2006-05-03 |
| 1386601912 | Michael P Martin | Otolaryngology | 126 Quincy Rd, Cheyenne, WY 82009-4126 | 2006-04-27 |
| 1265418834 | Eugene P Podrazik | Otolaryngology | 2210 King Blvd., Casper, WY 82604 | 2005-12-15 |
| 1568443398 | Cheryl Lynn Varner | Otolaryngology | 1333 W 5th St, Ste 206, Sheridan, WY 82801-2752 | 2005-11-09 |
| 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.