Dustin T Durham (NPI# 1740694397, PAC ID# 7810119294) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740694397 |
| PAC ID by PECOS | 7810119294 |
| Professional Enrollment ID | I20170607001071 |
| Full Name | Dustin T Durham |
| Organization Legal Name | UNIVERSITY OF WYOMING |
| Address |
820 E 17th St Cheyenne WY 82001-4714 |
| Phone Number | 3076322434 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4183607054 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530014 | CHEYENNE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 820 E 17th St, Cheyenne, WY 82001-4714 | 3076322434 | UNIVERSITY OF WYOMING |
| Organization Legal Name | UNIVERSITY OF WYOMING |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen J Richard | Qualified Speech Language Pathologist | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Caroline F Kirsch | Family Medicine | University of Wyoming | 1522 E A St, Casper, WY 82601-2217 |
| Nancy I Mcgee | Nurse Practitioner | University of Wyoming | 1174 N 22nd St, Laramie, WY 82072-5401 |
| Zachory F Deiss | Family Medicine | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Corri A Sandoval | Qualified Speech Language Pathologist | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Frank Delreal Iii | Psychiatry | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Jessica Warren | Nurse Practitioner | University of Wyoming | 1174 N 22nd St, Laramie, WY 82072-5401 |
| Teresa J Garcia | Qualified Audiologist | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Lillian Deann Cannon | Physician Assistant | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Mesha L Dunn | Family Medicine | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Street Address |
820 E 17TH ST |
| City | CHEYENNE |
| State | WY |
| Zip | 82001-4714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen J Richard | Qualified Speech Language Pathologist | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Zachory F Deiss | Family Medicine | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Corri A Sandoval | Qualified Speech Language Pathologist | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Frank Delreal Iii | Psychiatry | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Teresa J Garcia | Qualified Audiologist | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Lillian Deann Cannon | Physician Assistant | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Mesha L Dunn | Family Medicine | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Kimberly R Broomfield | Family Medicine | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Beth C Robitaille | Physical Medicine and Rehabilitation | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Adam Hoopes | Family Medicine | University of Wyoming | 820 E 17th St, Cheyenne, WY 82001-4714 |
| Find all physicians in the same address | |||
| 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 | FAMILY MEDICINE |
| City + Specialty | CHEYENNE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dustin T Durham.
| 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.