John G Haeberle (NPI# 1619901907, PAC ID# 6305997925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1619901907 |
PAC ID by PECOS | 6305997925 |
Professional Enrollment ID | I20090626000569 |
Full Name | John G Haeberle |
Organization Legal Name | FAMILY PHYSICIANS OF LARAMIE, LLC |
Address |
2710 Harney St Suite 202 Laramie WY 82072-2884 |
Phone Number | 3077423242 |
Gender | M |
Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
Graduation Year | 1997 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1658447990 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
530025 | IVINSON MEMORIAL HOSPITAL |
060024 | UNIVERSITY OF COLORADO HOSPITAL AUTHORITY |
Address | Phone | Organization |
---|---|---|
2710 Harney St, Suite 202, Laramie, WY 82072-2884 | 3077423242 | FAMILY PHYSICIANS OF LARAMIE, LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | FAMILY PHYSICIANS OF LARAMIE, LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darren L Mikesell | Family Medicine | Family Physicians of Laramie, LLC | 2710 Harney St, Suite 202, Laramie, WY 82072-2884 |
Nicole N Alexander | Physician Assistant | Family Physicians of Laramie, LLC | 2710 Harney St, Suite 202, Laramie, WY 82072-2884 |
Mark D Wefel | Family Medicine | Family Physicians of Laramie, LLC | 2710 Harney St, Suite 202, Laramie, WY 82072-2884 |
Street Address |
2710 HARNEY ST SUITE 202 |
City | LARAMIE |
State | WY |
Zip | 82072-2884 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily Catherine Risley | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
Tracy L Amadio | Nurse Practitioner | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
Darren L Mikesell | Family Medicine | Family Physicians of Laramie, LLC | 2710 Harney St, Suite 202, Laramie, WY 82072-2884 |
Erin M Kyle | Registered Dietitian Or Nutrition Professional | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
Kent D Katz | Gastroenterology | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
Elizabeth Rogal Smith | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
Harold L Pierce | Urology | 2710 Harney St, Suite 200, Laramie, WY 82072-2899 | |
Travis D Klingler | Obstetrics/gynecology | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
Nicole N Alexander | Physician Assistant | Family Physicians of Laramie, LLC | 2710 Harney St, Suite 202, Laramie, WY 82072-2884 |
Mark D Wefel | Family Medicine | Family Physicians of Laramie, LLC | 2710 Harney St, Suite 202, Laramie, WY 82072-2884 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Anne C Fitzgerald | Psychologist, Clinical | 1465 N 4th St, Suite 113, Laramie, WY 82072-2066 | |
J'laine Proctor | Nurse Practitioner | 1465 N 4th St, Suite 103, Laramie, WY 82072-2066 | |
Frances L Price | Psychologist, Clinical | 1465 N 4th St, Suite 101, Laramie, WY 82072-2066 | |
James K Boo | Physical Therapy | Homestead Physical Therapy PC | 1575 N 4th St, Suite 101, Laramie, WY 82072-2091 |
Luann S Herkstroeter | Physical Therapy | Homestead Physical Therapy PC | 1575 N 4th St, Suite 101, Laramie, WY 82072-2091 |
Teresa E Thompson | Nurse Practitioner | Family Care Clinic, LLC | 504 E Lyon St, Laramie, WY 82072-2132 |
Carla Jill Leinen | Nurse Practitioner | Family Care Clinic, LLC | 504 E Lyon St, Laramie, WY 82072-2132 |
Colleena R Emmett | Clinical Social Worker | Peak Wellness Center Inc | 1263 N 15th St, Laramie, WY 82072-2343 |
Joyce C Surdam | Clinical Psychologist | Premium Mental Health Inc | 1277 N 15th St, Laramie, WY 82072-2343 |
Jana K Saltenberger | Clinical Social Worker | Peak Wellness Center Inc | 1263 N 15th St, Laramie, WY 82072-2343 |
Find all physicians in zip 82072 |
City | LARAMIE |
Zip Code | 82072 |
Specialty | FAMILY MEDICINE |
City + Specialty | LARAMIE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John G Haeberle.
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.