MR. MIKE MARCUS


Address: 927 Canyon Ave, Cody, WY 82414-4110
Phone: 3072728085

MR. MIKE MARCUS (NPI# 1356824734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356824734
Entity Type Individual
Full Name MR. MIKE MARCUS
Practice Address 927 Canyon Ave
Cody
WY 82414-4110
Practice Telephone 3072728085
Mailing Telephone 3072728085
Enumeration Date 2018-09-11
Last Update Date 2018-09-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 927 CANYON AVE
City CODY
State WY
Zip Code 82414-4110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609311539 Katie Marie Donham Case Manager/Care Coordinator 927 Canyon Ave, Cody, WY 82414-4110 2017-01-02

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NPI Name Taxonomy Address Enumeration
1073969374 Melody Griebel Counselor 3026 Hardpan Ave., Unit A, Cody, WY 82414 2016-05-05
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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
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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093191157 Taylor Edgcomb Counselor 574 Sesame St, Buffalo, WY 82834-2510 2015-07-30
1912020421 Rebecca Jean Luhm Counselor 601 S 15th St, Worland, WY 82401-4105 2007-04-09

Competitor

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City CODY
Zip Code 82414

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Dataset Information

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.

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