RIVERTON PHYSICIAN PRACTICES, LLC (NPI# 1417257155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417257155 |
| Entity Type | Organization |
| Organization Name | RIVERTON PHYSICIAN PRACTICES, LLC |
| Other Organization Name | EVERGREEN PEDIATRICS |
| Practice Address |
1005 College View Dr Riverton WY 82501-2289 |
| Practice Telephone | 3078573488 |
| Practice Fax Number | 3078575215 |
| Mailing Telephone | 3078573488 |
| Mailing Fax Number | 3078575215 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | JESS N JUDY (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Evergreen Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205875614 | Riverton Physician Practices, LLC | Emergency Medicine | 1005 College View Dr, Riverton, WY 82501-2266 | 2006-06-05 |
| Street Address |
1005 COLLEGE VIEW DR |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-2289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465797 | Joseph Patrick Turner | Family Medicine | 1005 College View Dr, Riverton, WY 82501-2289 | 2005-05-23 |
| 1659709665 | Riverton Physician Practices | Internal Medicine | 1005 College View Dr, Riverton, WY 82501-2289 | 2013-10-30 |
| 1447578067 | Tara L Mercer Md LLC | Pediatrics | 1005 College View Dr, Riverton, WY 82501-2289 | 2010-05-06 |
| 1649598269 | Tara L Mercer | Pediatrics | 1005 College View Dr, Riverton, WY 82501-2289 | 2010-05-06 |
| 1497982805 | Riverton Physician Practices LLC | Orthopaedic Surgery | 1005 College View Dr, Suite 9, Riverton, WY 82501-2266 | 2009-06-12 |
| 1518118017 | Wind River Podiatric Medicine and Surgery, PC | Durable Medical Equipment & Medical Supplies | 1005 College View Dr, Suite 4, Riverton, WY 82501-2266 | 2008-10-02 |
| 1205016367 | Fremont Internal Medicine | Internal Medicine | 1005 College View Dr, Riverton, WY 82501-2266 | 2007-11-06 |
| 1265625297 | Wyoming Eye & Laser Inc. | Ophthalmology | 1005 College View Dr, Riverton, WY 82501-2266 | 2007-08-23 |
| 1912057290 | Aaron Deane Donaldson | Podiatrist | 1005 College View Dr, Riverton, WY 82501-2266 | 2007-01-11 |
| 1649208943 | David Scott Bender | Surgery | 1005 College View Dr, Riverton, WY 82501-2289 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851609564 | Pediatric Inpatient Services Riverton | Pediatrics | 3741 W 126000 S, Riverton, UT 84065 | 2010-09-15 |
| 1417101296 | Sadie M West | Pediatrics | 3723 West 12600 South, Suite 450, Riverton, UT 84065 | 2008-11-06 |
| 1164633715 | Stasha S Lewis | Pediatrics | 3723 W 12600 S Ste 150, Riverton, UT 84065-7296 | 2007-05-25 |
| 1316920770 | Shellie J Ring | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2005-11-21 |
| 1255793824 | Jennifer Mijer | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7309 | 2016-03-23 |
| 1043671985 | University of Utah Pediatric Services | Pediatrics | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-03-18 |
| 1073907119 | Melissa Mays Kadish | Pediatrics | 3723 W 12600 S Ste 150, Riverton, UT 84065 | 2015-03-26 |
| 1528452612 | Jenna Whitham | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7309 | 2015-03-26 |
| 1386987055 | Katherine Wingate Quayle | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2013-04-01 |
| 1649541699 | Granger Medical Clinic, PC | Pediatrics | 1288 W 12700 S, Riverton, UT 84065-6794 | 2012-01-23 |
| Find all providers in RIVERTON | ||||
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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.