TREVIN THURMAN (NPI# 1619902616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619902616 |
| Entity Type | Individual |
| Full Name | TREVIN THURMAN |
| Credential | M.D. |
| Practice Address |
1909 Vista Dr Laramie WY 82070-5530 |
| Practice Telephone | 3077458851 |
| Practice Fax Number | 3077420961 |
| Mailing Telephone | 3077458851 |
| Mailing Fax Number | 3077420961 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 228665 | MA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
TL6267 | WY | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A114470 | CA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD438591 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102418027 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11500 W Olympic Blvd Ste 640, Los Angeles, CA 900641525 | 3108536390 |
| Street Address |
1909 VISTA DR |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775862 | Stephen B Kaiser | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070 | 2006-01-18 |
| 1962013433 | Teagan Young | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2020-08-10 |
| 1003393984 | Erena Hintsa | Physician Assistant | 1909 Vista Dr, Laramie, WY 82070-5599 | 2018-07-24 |
| 1669968848 | Rhiannan Kay Rubino | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2018-07-10 |
| 1497249981 | Heather Rose O'donnell | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5599 | 2018-06-18 |
| 1316480478 | Michael Zelyez | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2016-11-22 |
| 1427418136 | Cinthy Carson | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2016-02-24 |
| 1447641717 | Rebecca Nordin | Registered Nurse | 1909 Vista Dr, Laramie, WY 82070-5530 | 2015-02-09 |
| 1437566908 | Amy Shepard | Physical Therapist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2014-07-16 |
| 1427488279 | Torrie Irene | Registered Nurse | 1909 Vista Dr, Laramie, WY 82070-5530 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361606 | Michael Charles Kaplan | Physical Medicine & Rehabilitation | 1909 Vista Dr, Laramie, WY 82070 | 2006-01-18 |
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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.