Heith Waddell (NPI# 1932413267, PAC ID# 7517109507) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1932413267 |
PAC ID by PECOS | 7517109507 |
Professional Enrollment ID | I20140521002203 |
Full Name | Heith Waddell |
Organization Legal Name | CROOK COUNTY MEDICAL SERVICES DISTRICT |
Address |
713 Oak St Sundance WY 82729 |
Phone Number | 3072833501 |
Gender | M |
Graduation Year | 2007 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9234032483 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
531311 | CROOK COUNTY HOSPITAL |
430048 | REGIONAL HEALTH SPEARFISH HOSPITAL |
530002 | CAMPBELL COUNTY HEALTH |
Address | Phone | Organization |
---|---|---|
713 Oak St, Sundance, WY 82729 | 3072833501 | CROOK COUNTY MEDICAL SERVICES DISTRICT |
Organization Legal Name | CROOK COUNTY MEDICAL SERVICES DISTRICT |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristina A Davis | Nurse Practitioner | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Warren E Shaulis | Nurse Practitioner | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
James C Larsen | Emergency Medicine | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Oren E Pedersen | Physician Assistant | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Kenda M Huseby | Nurse Practitioner | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Steven P French | Emergency Medicine | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Micki D Tucker | Nurse Practitioner | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Street Address |
713 OAK ST |
City | SUNDANCE |
State | WY |
Zip | 82729 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christian Gaissmaier | Cardiovascular Disease (cardiology) | Rapid City Regional Hospital Inc | 713 Oak St, Sundance, WY 82729 |
Kristina A Davis | Nurse Practitioner | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Warren E Shaulis | Nurse Practitioner | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
James C Larsen | Emergency Medicine | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Oren E Pedersen | Physician Assistant | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Kenda M Huseby | Nurse Practitioner | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Steven P French | Emergency Medicine | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Micki D Tucker | Nurse Practitioner | Crook County Medical Services District | 713 Oak St, Sundance, WY 82729 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katherine Suzanne Wilkins | Physical Therapy | Peak Motion Physical Therapy, Inc | 2719 State Hwy 585, Sundance, WY 82729-9501 |
Travis Jon Cochran | Physical Therapy | Bear Lodge Rehabilitation Services, LLC | 226 State Hwy 585, Sundance, WY 82729-9715 |
Veronica L Kramer | Physical Therapy | Bear Lodge Rehabilitation Services, LLC | 226 State Hwy 585, Sundance, WY 82729-9715 |
City | SUNDANCE |
Zip Code | 82729 |
Specialty | FAMILY MEDICINE |
City + Specialty | SUNDANCE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Heith Waddell.
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.