ADVANCED ENT AND SINUS CENTER OF WYOMING PC


Address: 2002 W Sunset Dr, Suite 2, Riverton, WY 82501-2283
Phone: 3078577300

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2002 W SUNSET DR
SUITE 2
City RIVERTON
State WY
Zip Code 82501-2283

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207YX0007X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Plastic Surgery within the Head & Neck

Taxonomy Definition

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)

Competitor

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City RIVERTON
Zip Code 82501

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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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