MOUNTAIN FALLS CLINIC, P.C.


Address: 2301 House Ave., Suite 201, Cheyenne, WY 82001
Phone: 3076387757

MOUNTAIN FALLS CLINIC, P.C. (NPI# 1750475422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750475422
Entity Type Organization
Organization Name MOUNTAIN FALLS CLINIC, P.C.
Practice Address 2301 House Ave.
Suite 201
Cheyenne
WY 82001
Practice Telephone 3076387757
Practice Fax Number 3076388359
Mailing Telephone 3076387757
Mailing Fax Number 3076388359
Enumeration Date 2006-10-03
Last Update Date 2020-08-22
Authorized Official Name ANDREA S THORNTON (OWNER)
Authorized Official Telephone 3076387757
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
6272A WY Allopathic & Osteopathic Physicians

Office Location

Street Address 2301 HOUSE AVE.
SUITE 201
City CHEYENNE
State WY
Zip Code 82001

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1942729066 Brittany Heinzman Community Health Worker 2000 Westland Road Suite C, Cheyenne, WY 82001 2017-09-11
1144768086 Cheyenne Regional Home Home Care Services Case Management 214 E 23rd Street, Cheyenne, WY 82001 2017-02-10
1104360726 Jennifer Pannebaker Behavioral Analyst 813 Randall Ave, Cheyenne, WY 82001 2016-12-16
1053854703 Raven Coward Long Social Worker 821 East Pershing Blvd, Cheyenne, WY 82001 2016-11-29
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649519554 Amy P Tortorich PC Internal Medicine 816 Oakhurst Dr, Cheyenne, WY 82009-1066 2013-02-13
1447459763 Sodienye Tetenta Internal Medicine 2301 House Ave, Suite 201, Cheyenne, WY 82001-3176 2007-07-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497055891 Ramzi T Ammari PC Internal Medicine 1300 W 4th Street, Gillette, WY 82716-3339 2010-11-01
1770844474 Bikram Sharma Internal Medicine 1200 College Dr, Rock Springs, WY 82901 2012-05-30

Competitor

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City CHEYENNE
Zip Code 82001

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Dataset Information

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.

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