Brandon Vashon Mack (NPI# 1639203664, PAC ID# 6103922877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1639203664 |
| PAC ID by PECOS | 6103922877 |
| Professional Enrollment ID | I20070605000457 |
| Full Name | Brandon Vashon Mack |
| Address |
1200 College Dr Rock Springs WY 82901-5868 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2002 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170068 | SOUTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 315 W 15th St, Southwest Medical Center Anesthesia, Liberal, KS 67901-2455 | 6206296682 | SOUTHWEST MEDICAL CENTER |
| 1200 College Dr, Rock Springs, WY 82901-5868 |
| Street Address |
1200 COLLEGE DR |
| City | ROCK SPRINGS |
| State | WY |
| Zip | 82901-5868 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan R Roddy | Emergency Medicine | University of Utah Adult Services | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Brendan Milliner | Emergency Medicine | University of Utah Adult Services | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Ludwig F Kroner Iii | Orthopedic Surgery | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Charles W Knight | Internal Medicine | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Philip T Najm | Emergency Medicine | University of Utah Adult Services | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Benjamin A Jensen | Anesthesiology | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Cielette M Karn | Pathology | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Steven A Croft | Anesthesiology | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Christopher Thomas Hunnicutt | Diagnostic Radiology | Advanced Medical Imaging LLC | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Michael Yefimovich Neyman | Internal Medicine | County of Sweetwater | 1200 College Dr, Rock Springs, WY 82901-5868 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn Lee Palinek | Nurse Practitioner | County of Sweetwater | 3000 College Dr, Rock Springs, WY 82901-4202 |
| Tenny Hanson | Nurse Practitioner | County of Sweetwater | 3000 College Dr, Rock Springs, WY 82901-4202 |
| Israel Micah Stewart | Internal Medicine | County of Sweetwater | 3000 College Dr, Rock Springs, WY 82901-4202 |
| Parry M Davison | Certified Registered Nurse Anesthetist (crna) | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Mandy Jarvis | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Elohor Tessy Muagba | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Jed Shay | Pain Management | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Meghan A Mcmackin | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Louanna M Bradley | Nurse Practitioner | New Frontier Imaging LLC | 2620 Commercial Way, Suite 120, Rock Springs, WY 82901-4746 |
| Mandi E Lew | Nurse Practitioner | Bear Lake Community Health Center | 2620 Commercial Way, Suite 140, Rock Springs, WY 82901-4750 |
| Find all physicians in zip 82901 | |||
| City | ROCK SPRINGS |
| Zip Code | 82901 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | ROCK SPRINGS + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Brandon Vashon Mack.
| 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.