Kyle Thomas Piwonka (NPI# 1881823581, PAC ID# 1456595586) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1881823581 |
| PAC ID by PECOS | 1456595586 |
| Professional Enrollment ID | I20160610001403 |
| Full Name | Kyle Thomas Piwonka |
| Organization Legal Name | CHEYENNE EYE CLINIC |
| Address |
1300 E 20th St Cheyenne WY 82001-4021 |
| Phone Number | 3076347765 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2005 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 2264414846 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| 530014 | CHEYENNE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1300 E 20th St, Cheyenne, WY 82001-4021 | 3076347765 | CHEYENNE EYE CLINIC |
| 2424 E 21st St, Suite 200, Tulsa, OK 74114-1736 | 9189494577 | TULSA RETINA CONSULTANTS PLLC |
| Organization Legal Name | CHEYENNE EYE CLINIC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shauna K Mckusker | Ophthalmology | Cheyenne Eye Clinic | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Randolph L Johnston | Ophthalmology | Cheyenne Eye Clinic | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Street Address |
1300 E 20TH ST |
| City | CHEYENNE |
| State | WY |
| Zip | 82001-4021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindi D Harding | Certified Registered Nurse Anesthetist (crna) | Cheyenne Eye Clinic, LLC | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Anne E Miller | Ophthalmology | Cheyenne Eye Clinic, LLC | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Ali Torab Parhiz | Ophthalmology | Cheyenne Eye Clinic, LLC | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Kristopher T Hubbard | Optometry | Cheyenne Eye Clinic, LLC | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Jennifer Marie Nottage | Ophthalmology | Cheyenne Eye Clinic, LLC | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| David James Smits | Ophthalmology | Cheyenne Eye Clinic, LLC | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Taylor A Bowman | Optometry | Cheyenne Eye Clinic, LLC | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Shauna K Mckusker | Ophthalmology | Cheyenne Eye Clinic | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Randolph L Johnston | Ophthalmology | Cheyenne Eye Clinic | 1300 E 20th St, Cheyenne, WY 82001-4021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Kietell | Clinical Social Worker | 1401 Airport Pkwy, Suite 120, Cheyenne, WY 82001-1522 | |
| Jonathan W Singer | Family Medicine | 1401 Airport Pkwy, Suite 150, Cheyenne, WY 82001-1526 | |
| Steven D Newman | Psychologist, Clinical | 1401 Airport Pkwy, Suite 210, Cheyenne, WY 82001-1541 | |
| Gerald J Post Jr. | Psychologist, Clinical | Jerry Post, Psy.d., PC | 1401 Airport Pkwy, Suite 240, Cheyenne, WY 82001-1542 |
| Shaina Smith | Psychologist, Clinical | Jerry Post, Psy.d., PC | 1401 Airport Pkwy, Suite 240, Cheyenne, WY 82001-1542 |
| Michael David Scott | Physician Assistant | Cheyenne Regional Physicians Group LLC | 4017 Rawlins St, Cheyenne, WY 82001-1800 |
| Diane E Hattel | Nurse Practitioner | Willow Creek Family Medicine, P.C. | 4003 Rawlins St, Cheyenne, WY 82001-1800 |
| Joyce Laree Larsen | Nurse Practitioner | Willow Creek Family Medicine, P.C. | 4003 Rawlins St, Cheyenne, WY 82001-1800 |
| Cheryl A Lavoy | Physical Therapy | Cheyenne Regional Physicians Group LLC | 4017 Rawlins St, Cheyenne, WY 82001-1800 |
| John E Winter | Orthopedic Surgery | Cheyenne Regional Physicians Group LLC | 4017 Rawlins St, Cheyenne, WY 82001-1800 |
| Find all physicians in zip 82001 | |||
| City | CHEYENNE |
| Zip Code | 82001 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CHEYENNE + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.