LYNDA DIANNE BENTLEY (NPI# 1720003189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720003189 |
| Entity Type | Individual |
| Full Name | LYNDA DIANNE BENTLEY |
| Credential | PA |
| Practice Address |
101 Fk Buster Ave Cheyenne OK 73628 |
| Mailing Address |
Po Box 490 Cheyenne OK 73628-0490 |
| Practice Telephone | 5804973333 |
| Practice Fax Number | 5804972778 |
| Mailing Telephone | 5804973333 |
| Mailing Fax Number | 5804972778 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA912 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100161610A | 05 |
| Street Address |
101 FK BUSTER AVE |
| City | CHEYENNE |
| State | OK |
| Zip Code | 73628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407950447 | Roger Mills County Hospital Authority | Clinic/Center | 101 Fk Buster Ave, Cheyenne, OK 73628-0490 | 2006-09-11 |
| 1477578995 | John M Hubanks | Family Medicine | 101 Fk Buster Ave, Cheyenne, OK 73628 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234902 | Mikal Phillips Edwards | Nurse Practitioner | 101 F K Buster Ave, Cheyenne, OK 73628 | 2018-05-09 |
| 1760583942 | Roger Mills County Hospital Authority | Family Medicine | 501 S Ll Males, Cheyenne, OK 73628 | 2006-09-26 |
| 1366765638 | Stephens Health Care Specialists Pllc | Pharmacy | 413 Broadway, Cheyenne, OK 73628 | 2010-03-01 |
| 1720011596 | Stephens Health Care Specialists Pllc | Pharmacy | 413 Broadway, Cheyenne, OK 73628 | 2006-07-07 |
| 1962821074 | Sonja Langley | General Practice | 501 S Ll Males Ave, Cheyenne, OK 73628-0000 | 2014-04-16 |
| 1497857437 | Roger Mills County Hospital Authority | General Acute Care Hospital | 501 S Ll Males Ave, Cheyenne, OK 73628-0219 | 2006-09-01 |
| 1073763736 | Roger Mills County Hospital Authority | Ambulance | 501 S Ll Males, Cheyenne, OK 73628-0219 | 2008-09-30 |
| 1598795353 | Steven Eugene Shrader | Dentist | 102 Buster Ave, Cheyenne, OK 73628-0309 | 2006-07-04 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
| 1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
| 1578993671 | Jessica Henry | Physician Assistant | 4140 Laramie St, Cheyenne, WY 82001-1969 | 2013-11-26 |
| 1982942132 | Molly E Means | Physician Assistant | 7124 Commons Dr C, Cheyenne, WY 82009-2620 | 2013-01-23 |
| 1710279757 | Michael Jason Sprosty | Physician Assistant | 4600 Powderhouse Rd, Cheyenne, WY 82009-7324 | 2011-05-10 |
| 1053554402 | Paul J Jacquay | Physician Assistant | 2508 E Fox Farm Rd Ste 1a, Cheyenne, WY 82007-2559 | 2009-04-15 |
| 1073795365 | Lori Ann Meadors | Physician Assistant | 2301 House Ave Ste 201, Cheyenne, WY 82001-3177 | 2007-11-29 |
| 1114007028 | Michael D Scott | Physician Assistant | 4136b Laramie Street, Cheyenne, WY 82001-1969 | 2006-10-16 |
| 1982713764 | Julie C Whitesell | Physician Assistant | 7124 Commons Dr Unit C, Cheyenne, WY 82009-2620 | 2006-08-29 |
| 1083697064 | Corey Lynn Ernst | Physician Assistant | 2003 Bluegrass Circle, Cheyenne, WY 82009 | 2005-11-23 |
| Find all providers in CHEYENNE | ||||
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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.