YELLOWSTONE SPORTS MEDICINE, LLC (NPI# 1881042778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881042778 |
| Entity Type | Organization |
| Organization Name | YELLOWSTONE SPORTS MEDICINE, LLC |
| Practice Address |
720 Lindsay Ln Cody WY 82414-4103 |
| Practice Telephone | 3075781953 |
| Practice Fax Number | 3075781956 |
| Mailing Telephone | 3075781953 |
| Mailing Fax Number | 3075781956 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | JIMMIE G BILES (OWNER) |
| Authorized Official Telephone | 3075781949 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 3909A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 3505047 | 05 | |
| WY | BLUE CROSS BLUE SHIELD | 302474 | 01 |
| WY | MEDICARE RAILROAD | 200009940 | 01 |
| OR | 297555 | 05 | |
| MT | MEDICARE | 000082971 | 01 |
| WY | 102410800 | 05 | |
| WY | MEDICARE | 302474 | 01 |
| AK | MD323WY | 05 |
| Street Address |
720 LINDSAY LN |
| City | CODY |
| State | WY |
| Zip Code | 82414-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235170705 | St. Vincent Healthcare | Clinic/Center | 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 | 2006-06-08 |
| 1902277916 | Casper Medical Center LLC | General Acute Care Hospital | 720 Lindsay Ln, Cody, WY 82414-4103 | 2015-10-16 |
| 1427308311 | Adam K Johnnidis | Physical Therapist | 720 Lindsay Ln, Cody, WY 82414-4103 | 2012-09-18 |
| 1679871735 | Ruth Ann Michels | Occupational Therapist | 720 Lindsay Ln, Cody, WY 82414-4103 | 2011-03-14 |
| 1457588212 | Aaron L. Killpack | Family Medicine | 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 | 2009-06-18 |
| 1033363973 | Jeremy David Livingston | Orthotist | 720 Lindsay Ln, Cody, WY 82414-4142 | 2008-11-05 |
| 1659521144 | Clint Earl Merritt | Physician Assistant | 720 Lindsay Ln, Suite C, Cody, WY 82414-4103 | 2008-09-22 |
| 1982868667 | Cody Moncur Nielson | Nurse Practitioner | 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 | 2008-07-11 |
| 1205005618 | Yellowstone Sports Medicine and Bone & Joint Clinic,llc | Orthopaedic Surgery | 720 Lindsay Ln, Suite B, Cody, WY 82414-4103 | 2008-02-29 |
| 1558437913 | Yellowstone Imaging LLC | Radiologic Technologist | 720 Lindsay Ln, Cody, WY 82414-4103 | 2006-11-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1376765826 | Beartooth Orthopaedic & Spine PC | Orthopaedic Surgery | 702 Platinum Ave, Cody, WY 82414-3423 | 2007-05-03 |
| 1114018728 | Jimmie G Biles Jr. | Orthopaedic Surgery | 720 Lindsay Lane, Suite B, Cody, WY 82414 | 2006-09-27 |
| 1083603047 | Jay A Winzenried | Orthopaedic Surgery | 721 Sheridan Ave Ste 130, Cody, WY 82414-3436 | 2005-10-20 |
| 1205005618 | Yellowstone Sports Medicine and Bone & Joint Clinic,llc | Orthopaedic Surgery | 720 Lindsay Ln, Suite B, Cody, WY 82414-4103 | 2008-02-29 |
| 1134249725 | Big Horn Basin Bone & Joint, LLC | Orthopaedic Surgery | 3030 Big Horn Ave, Cody, WY 82414 | 2007-03-29 |
| 1225184997 | Mark E. Ryzewicz | Orthopaedic Surgery | 707 Sheridan Ave, Cody, WY 82414-3409 | 2007-01-26 |
| 1003917683 | Big Horn Basin Orthopedic Clinic, PC | Orthopaedic Surgery | 720 Lindsay Ln, Cody, WY 82414-4103 | 2006-09-26 |
| 1720189335 | Stephen F Emery | Orthopaedic Surgery | 720 Lindsay Ln, Ste C, Cody, WY 82414-4103 | 2006-09-26 |
| 1851492458 | Frank H Schmidt | Orthopaedic Surgery | 720 Lindsay Ln, Ste C, Cody, WY 82414-4103 | 2006-09-26 |
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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.