ADVANCED ENT AND SINUS CENTER OF WYOMING PC (NPI# 1922158708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922158708 |
Entity Type | Organization |
Organization Name | ADVANCED ENT AND SINUS CENTER OF WYOMING PC |
Practice Address |
2002 W Sunset Dr Suite 2 Riverton WY 82501-2283 |
Practice Telephone | 3078577300 |
Practice Fax Number | 3078577310 |
Mailing Telephone | 3078577300 |
Mailing Fax Number | 3078577310 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. ZAIN KADRI (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3078677300 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
7569A | WY | Allopathic & Osteopathic Physicians |
Street Address |
2002 W SUNSET DR SUITE 2 |
City | RIVERTON |
State | WY |
Zip Code | 82501-2283 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659369650 | Jerry S Jarrard | Emergency Medicine | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2005-10-12 |
1467801340 | Thad Justin Willis | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2016-06-10 |
1932585742 | Jeffrey Alcorn | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2015-08-04 |
1043691835 | Zachary Olivarez | Specialist/Technologist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2015-06-17 |
1730598830 | Thomas Davis | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2014-08-04 |
1639588734 | Katherine Quayle | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2014-08-04 |
1407102585 | Kelly Carpenter | Physical Therapy Assistant | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2012-07-26 |
1326393794 | Whittney K Gomendi-smith | Physical Therapist | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2012-07-20 |
1669702163 | Riverton Physician Practices LLC | Psychiatry & Neurology | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2010-01-05 |
1326377920 | Riverton Physician Practices LLC | Podiatrist | 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283 | 2009-12-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
Find all providers in zip 82501 |
Taxonomy Code | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
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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.