HOMETOWN MEDICAL CLINIC P.C. (NPI# 1548821507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548821507 |
| Entity Type | Organization |
| Organization Name | HOMETOWN MEDICAL CLINIC P.C. |
| Practice Address |
719 Washington Blvd Newcastle WY 82701-2987 |
| Practice Telephone | 3077462182 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | ASHLEY TUPPER (PRESIDENT) |
| Authorized Official Telephone | 3077462182 |
| Authorized Official Credential | ARPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
719 WASHINGTON BLVD |
| City | NEWCASTLE |
| State | WY |
| Zip Code | 82701-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386891562 | Lila Jo Blakeman | Nurse Practitioner | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2008-08-19 |
| 1144726670 | Martha Jo Wilson | Nurse Practitioner | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2018-04-03 |
| 1316354590 | Ashley Tupper | Nurse Practitioner | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2014-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164812475 | Weston County Pharmacy | Pharmacist | 727a Washington Blvd, Newcastle, WY 82701 | 2015-01-26 |
| 1326385394 | Candice Marie Watt | Counselor | 420 Deanne Avenue, Newcastle, WY 82701 | 2013-01-11 |
| 1619288503 | Zelda M Anderson | Case Manager/Care Coordinator | 466 Oil Creek Road, Newcastle, WY 82701 | 2010-06-25 |
| 1265769772 | Sharon Adean Materi | Case Manager/Care Coordinator | 23038 U.S. Highway 85, Newcastle, WY 82701 | 2009-11-05 |
| 1740424332 | Monte William Straley | Pharmacist | 727 A Washington Blvd, Newcastle, WY 82701 | 2009-04-27 |
| 1669539235 | Weston County Hospital District | Case Management | 725 Washington Blvd, Newcastle, WY 82701 | 2007-01-03 |
| 1154402972 | Weston County Hospital District | Emergency Medicine | 1124 Washington Boulevard, Newcastle, WY 82701 | 2006-10-18 |
| 1841381514 | Newcastle Ambulance Service | Ambulance | 7 W Wenworth, Newcastle, WY 82701 | 2006-09-27 |
| 1750362588 | Michael Lee Carpenter | Physician Assistant | 1121 Washington Ave, Newcastle, WY 82701 | 2005-11-09 |
| 1770887184 | Abi Jo Dysart | Chiropractor | 128 W Main St, Ste G, Newcastle, WY 82701 | 2010-12-28 |
| Find all providers in zip 82701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518139559 | Oca Tricity Lp | Family Medicine | 1000 Nw 32nd, Newcastle, OK 73065 | 2008-03-31 |
| 1881606002 | Wesley Edward Pope | Family Medicine | 2818 Nw 32nd St, Newcastle, OK 73065-6576 | 2006-08-13 |
| 1821045972 | Trisha Lee Pollara | Family Medicine | 7203 129th Ave Se, Ste 200, Newcastle, WA 98056-1412 | 2006-05-27 |
| 1598741399 | Lifespan Family Healthcare LLC | Family Medicine | 80 River Rd, Newcastle, ME 04553-3838 | 2005-12-22 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1508290248 | Regional Health Physicians, Inc. | Family Medicine | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2013-08-29 |
| 1316231962 | Adam M Stephenson | Family Medicine | 7203 129th Ave Se, Ste 100, Newcastle, WA 98056-1412 | 2011-05-31 |
| 1588814669 | Heather D Chibambo | Family Medicine | 7203 129th Ave Se, Ste 100, Newcastle, WA 98056-1412 | 2008-09-24 |
| 1780882233 | Shawn Akavan | Family Medicine | 7203 129th Ave Se, Ste 200, Newcastle, WA 98056-1412 | 2007-07-06 |
| 1003022112 | Leticia Ayala Maragh | Family Medicine | 7203 129th Ave Se, Newcastle, WA 98056-1412 | 2007-05-15 |
| Find all providers in NEWCASTLE | ||||
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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.