CHEYENNE SKIN CLINIC LLP (NPI# 1740427509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740427509 |
| Entity Type | Organization |
| Organization Name | CHEYENNE SKIN CLINIC LLP |
| Practice Address |
123 Western Hills Blvd Cheyenne WY 82009-3446 |
| Practice Telephone | 3076350226 |
| Mailing Telephone | 3076350226 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |
| Authorized Official Name | SANDRA K SURBRUGG (MANAGING PARTNER) |
| Authorized Official Telephone | 3076350226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
123 WESTERN HILLS BLVD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699742957 | Sandra K Surbrugg | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-07 |
| 1366925737 | Caitlyn Sue Mccue | Physician Assistant | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2018-09-12 |
| 1043630619 | Krystal J Massey | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2014-04-23 |
| 1912019605 | Cathy J Parish | Nurse Practitioner | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-08-31 |
| 1427005545 | Julie A Neville | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-05-27 |
| 1831150689 | Cheyenne Skin Clinic | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-31 |
| 1740241595 | Center for Dermatologic Surgery | Clinic/Center | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-31 |
| 1295796050 | Vein Treatment Center A Limited Liability Company | Surgery | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-31 |
| 1437118528 | Mary O Cole | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-20 |
| 1508825696 | Kathleen A Thomas | Dermatology | 123 Western Hills Blvd, Cheyenne, WY 82009-3446 | 2006-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226524 | Wyoming Physical Therapy PC | Specialist | 1620 E Pershing Blvd, Cheyenne, WY 82001-3238 | 2019-07-11 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1346632486 | Ashley Carrick | Specialist | 3809 Cheyenne St, Cheyenne, WY 82001 | 2015-02-26 |
| 1316178304 | Lorri C. Jordan | Specialist | 3600 Carey Ave, Cheyenne, WY 82001-1228 | 2009-08-07 |
| 1417082389 | Wyoming Neurology PC | Specialist | 2301 House Ave Ste 203, Cheyenne, WY 82001-3177 | 2007-02-22 |
| 1427153063 | Joan Stout | Specialist | 6923 Evers Blvd, Cheyenne, WY 82009-2524 | 2006-09-14 |
| 1902802663 | Meade O Davis IIi | Specialist | 433 E 19th St, Cheyenne, WY 82001-4643 | 2005-06-27 |
| 1750822730 | Megan Edelson | Specialist | 4025 Rawlins St, Cheyenne, WY 82001-1900 | 2017-03-10 |
| 1902247315 | Children's Therapy Group, LLC | Specialist | 3718 Pioneer Ave, Cheyenne, WY 82001-1246 | 2013-07-13 |
| 1750635587 | Daniel Wanyonyi Makokha | Specialist | 4025 Rawlins St, Cheyenne, WY 82001-1900 | 2012-10-31 |
| 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.