RIVERTON PHYSICIAN PRACTICES LLC (NPI# 1497982805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497982805 |
Entity Type | Organization |
Organization Name | RIVERTON PHYSICIAN PRACTICES LLC |
Other Organization Name | WIND RIVER ORTHOPEDICS |
Practice Address |
1005 College View Dr Suite 9 Riverton WY 82501-2266 |
Practice Telephone | 3708573488 |
Practice Fax Number | 3708575215 |
Mailing Telephone | 3708573488 |
Mailing Fax Number | 3708575215 |
Enumeration Date | 2009-06-12 |
Last Update Date | 2009-06-12 |
Authorized Official Name | DONALD J BIVACCA (PRESIDENT) |
Authorized Official Telephone | 6153728500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Wind River Orthopedics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083865554 | Riverton Physician Practices LLC | Internal Medicine | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2008-10-02 |
1619236791 | Riverton Physician Practices LLC | Internal Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2012-05-10 |
1669702163 | Riverton Physician Practices LLC | Psychiatry & Neurology | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2010-01-05 |
1326377920 | Riverton Physician Practices LLC | Podiatrist | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2009-12-10 |
1174858302 | Riverton Physician Practices LLC | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2009-10-06 |
Street Address |
1005 COLLEGE VIEW DR SUITE 9 |
City | RIVERTON |
State | WY |
Zip Code | 82501-2266 |
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 |
1417257155 | Riverton Physician Practices, LLC | Pediatrics | 1005 College View Dr, Riverton, WY 82501-2289 | 2010-10-28 |
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 |
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 |
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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 |
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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 |
---|---|---|---|---|
1497982177 | Hiller Orthopedic Associates, LLC | Orthopaedic Surgery | 1223 E Park Ave, Riverton, WY 82501-3876 | 2009-06-19 |
1861713679 | Eric Richard Dockter | Orthopaedic Surgery | 3723 W 12600 S, Suite 460, Riverton, UT 84065-7295 | 2010-06-15 |
1952563579 | Ihc Health Services Inc | Orthopaedic Surgery | 3723 W 12600 S, #460, Riverton, UT 84065-7295 | 2008-06-25 |
1649455403 | Daniel Todd Richards | Orthopaedic Surgery | 12391 S 4000 W, Riverton, UT 84096-7012 | 2007-12-29 |
1396782413 | Michael J. Ford | Orthopaedic Surgery | 716 College View Dr, Suite A, Riverton, WY 82501-2282 | 2006-05-31 |
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 |
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 |
1952487001 | William C Neal, M.d. Pllc | Orthopaedic Surgery | 945 West Braodway, Suite 202, Jackson, WY 83001-7369 | 2006-10-31 |
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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.