CREEKSIDE MEDICAL LLC , NPI 1487167052
Electrodiagnostic Medicine in CHEYENNE, WY
Last Updated on : Sep 20,2018
About CREEKSIDE MEDICAL LLC (NPI 1487167052)
CREEKSIDE MEDICAL LLC is an Electrodiagnostic Medicine in CHEYENNE, United States .
1487167052 is NPI number of CREEKSIDE MEDICAL LLC.
CREEKSIDE MEDICAL LLC's primary taxonomy code based on NPI Lookup is 204R00000X with license number . This taxonomy code refers to Electrodiagnostic Medicine.
CREEKSIDE MEDICAL LLC current practice location address is 1910 THOMES AVE, CHEYENNE, WY. CREEKSIDE MEDICAL LLC can be reached out via phone at 425-890-6239 .
You can also correspond with CREEKSIDE MEDICAL LLC through mail at mailing address 4580 KLAHANIE DR SE # 252, ISSAQUAH, WA, United States. Mailing address contact number is 833-613-9084.
The enumeration date of CREEKSIDE MEDICAL LLC is 06-Nov-2017. The provider is registered as an Organization and the NPI record was last updated 5 years ago. The authorized official of CREEKSIDE MEDICAL LLC is MATTHEW WAVRA (managing member). MATTHEW WAVRA can be reached at 4258906239.1487167052 NPI Information
Basic NPI information of CREEKSIDE MEDICAL LLC (NPI 1487167052) is provided below.
| Name | CREEKSIDE MEDICAL LLC |
|---|---|
| National Provider Id (NPI) | 1487167052 |
| Entity Type | Organization |
| Practice Address | 1910 THOMES AVE,
CHEYENNE, WY, United States |
| Practice Telephone | 425-890-6239 |
| Practice Fax Number | |
| Mailing Address | 4580 KLAHANIE DR SE # 252 ,
ISSAQUAH, WA, United States |
| Mailing Telephone | 833-613-9084 |
| Mailing Fax Number | |
| Enumeration Date | 06-Nov-2017 |
| Last Updated Date | 20-Sep-2018 |
CREEKSIDE MEDICAL LLC (NPI 1487167052) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine |
Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.
CREEKSIDE MEDICAL LLC (NPI 1487167052) Office Location
Office location of CREEKSIDE MEDICAL LLC is provided in the Google maps below.Providers in same location
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|---|---|---|---|---|
| 1881900637 | "ANSWERS," PROFESSIONAL COUNSELING SERVICE, LLC | Counselor, Professional | 3001 HENDERSON DR,
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| 1922751940 | 2400 HOME, LLC DBA SYNERGY HOME CARE - CHEYENNE | In Home Supportive Care | 2400 DUNN AVE STE A,
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| 1538519301 | 433 ENTERPRISES INC | In Home Supportive Care | 1720 LOGAN AVE,
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| 1891912846 | A NEW CONCEPT OPTICAL & EYECARE | Optometrist, Corneal and Contact Management | 2528 DELL RANGE BLVD,
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| 1710452743 | A STEP AHEAD FOOT AND ANKLE CENTER LLC | Durable Medical Equipment & Medical Supplies | 1202 CLEVELAND AVE,
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| 1083606420 | A. E. ROEDEL DRUG INC | Pharmacy | PO BOX 327,
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| 1386274488 | ABA SERVICES, LLC | 8 THE GREEN,
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| 1710646856 | ABAECARE LLC | Assistant Behavior Analyst | 1105 W RUSSELL ST,
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03-Dec-2020 |
| 1609028844 | KENNETH G. ABBOTT | Physical Therapist | 6598 BUTTERCUP DR UNIT 1,
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21-Oct-2008 |
| 1811228430 | BILAL ABDUL HAQQ | Case Manager/Care Coordinator | 604 E 25TH ST,
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21-Jan-2010 |
| 1346505187 | ABILITIES UNLIMITED OF CHEYENNE | Case Management | 1611 E 19TH ST,
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09-Jul-2012 |
| 1033463567 | ABSOLUTE RESPIRATORY CARE | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 2017 E 11TH ST,
CHEYENNE, WY, United States |
06-Nov-2012 |
| 1205314754 | ABUNDANT LIFE THERAPY, LLC | Counselor, Addiction (Substance Use Disorder) | 1401 S TAFT AVE STE 206,
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06-Aug-2018 |
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FAQs
Whose NPI Number is 1487167052?1487167052 is the NPI number of CREEKSIDE MEDICAL LLC.
Where is CREEKSIDE MEDICAL LLC located?CREEKSIDE MEDICAL LLC is located at 1910 THOMES AVE, CHEYENNE, WY.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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