Michael Sprosty (NPI# 1710279757, PAC ID# 4284850462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1710279757 |
| PAC ID by PECOS | 4284850462 |
| Professional Enrollment ID | I20151218000403 |
| Full Name | Michael Sprosty |
| Organization Legal Name | CARE UNITED MEDICAL CENTER OF LARAMIE, LLC |
| Address |
1919 Central Ave Cheyenne WY 82001-3742 |
| Phone Number | 3075149888 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7719168491 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 531314 | NIOBRARA COUNTY HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 1919 Central Ave, Cheyenne, WY 82001-3742 | 3075149888 | CARE UNITED MEDICAL CENTER OF LARAMIE, LLC |
| 3810 E Grand Ave, Laramie, WY 82070-5179 | 3077211794 | CARE UNITED MEDICAL CENTER OF LARAMIE, LLC |
| Organization Legal Name | CARE UNITED MEDICAL CENTER OF LARAMIE, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney N Gordon | Physician Assistant | Care United Medical Center of Laramie, LLC | 3810 E Grand Ave, Laramie, WY 82070-5179 |
| Daniel E Surdam | Emergency Medicine | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| James Lee Petersen | Physician Assistant | Care United Medical Center of Laramie, LLC | 3810 E Grand Ave, Laramie, WY 82070-5179 |
| Joslyn Thompson | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Amy R Surdam | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Katherine J Sanne | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Shawn Rockey | Physician Assistant | Care United Medical Center of Laramie, LLC | 3810 E Grand Ave, Laramie, WY 82070-5179 |
| Jennifer A Martin | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| William T Carter Iii | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Herlly Yohanna Camacho | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Street Address |
1919 CENTRAL AVE |
| City | CHEYENNE |
| State | WY |
| Zip | 82001-3742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Surdam | Emergency Medicine | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Joslyn Thompson | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Amy R Surdam | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Katherine J Sanne | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Jennifer A Martin | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| William T Carter Iii | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| Herlly Yohanna Camacho | Nurse Practitioner | Care United Medical Center of Laramie, LLC | 1919 Central Ave, Cheyenne, WY 82001-3742 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | CHEYENNE + PHYSICIAN ASSISTANT |
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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.