ABC PEDIATRICS LLC (NPI# 1841452000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841452000 |
| Entity Type | Organization |
| Organization Name | ABC PEDIATRICS LLC |
| Practice Address |
1300 W 4th St Gillette WY 82716-3339 |
| Practice Telephone | 3076864900 |
| Practice Fax Number | 3076823466 |
| Mailing Telephone | 3076864900 |
| Mailing Fax Number | 3076823466 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MRS. RADONA KAY BORGIALLI (OFFICE MANAGER) |
| Authorized Official Telephone | 3076864900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
5966A | WY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 121687200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982960464 | Abc Pediatrics LLC | Pediatrics | 740 S New St, Dover, DE 19904-3571 | 2012-04-09 |
| 1508063991 | Abc Pediatrics LLC | Clinic/Center | 1300 W 4th St, Gillette, WY 82716-3339 | 2007-06-28 |
| Street Address |
1300 W 4TH ST |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124190277 | Linda Kamil Abujaber-ammari | Pediatrics | 1300 W 4th St, Gillette, WY 82716 | 2006-11-14 |
| 1942546015 | Rachel Anne Helms | Nurse Practitioner | 1300 W 4th St, Gillette, WY 82716-3330 | 2012-12-18 |
| 1508063991 | Abc Pediatrics LLC | Clinic/Center | 1300 W 4th St, Gillette, WY 82716-3339 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
| 1578181467 | American Thyroid Institute LLC | Clinic/Center | 30 N Gould St Ste R, Sheridan, WY 82801-6317 | 2020-07-08 |
| 1194044750 | Teton Dermatology Inc | Clinic/Center | 984 West Broadway, Suite 4, Jackson, WY 83001-0000 | 2010-05-21 |
| 1053554162 | Double Rainbow Sciences, LLC | Clinic/Center | 555 E. Broadway, Suite 108, Jackson, WY 83001 | 2009-04-20 |
| 1871741322 | Huxford Chiropractic Clinic | Clinic/Center | 706 Elk St, Rock Springs, WY 82901-5247 | 2008-09-08 |
| 1760650980 | Richardson Family Health Center, P.C. | Clinic/Center | 430 Broadway St, Rock Springs, WY 82901-6269 | 2008-02-11 |
| 1093998098 | Thomas E Spicer, Md-pc | Clinic/Center | 1208 Hilltop Dr, Suite 103, Rock Springs, WY 82901-5857 | 2007-12-12 |
| 1982755096 | Central Wyoming Eye Clinic, PC | Clinic/Center | 1705 E 12th St, Casper, WY 82601-4038 | 2007-01-15 |
| Find all providers with the same taxonomy | ||||
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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.