Fremont Anesthesia Associate, PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

FREMONT ANESTHESIA ASSOCIATE, PLLC

Practice address

2100 W Sunset Dr
Riverton, WY 82501-2274

Phone

(800) 967-1646

Fax

(317) 567-2191

NPI assigned

Sep 28, 2007

Last updated

Nov 25, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew A Mullinix, CRNANPI 1063457893

Title

Managing Group Member

Phone

(307) 856-4161

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Mullinix, CRNA

  • Certified Registered Nurse Anesthetist
  • Riverton, WY
  • NPI 1063457893
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1053508564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30918",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591160918",
            "telephone_number": "317-567-2180",
            "fax_number": "317-567-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W SUNSET DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012274",
            "telephone_number": "800-967-1646",
            "fax_number": "317-567-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT ANESTHESIA ASSOCIATE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "MULLINIX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING GROUP MEMBER",
        "authorized_official_telephone_number": "307-856-4161",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Franks, CAP
• Lauren Frantz
• Lisa A Franz-Reichert, RPH
• Christopher C Frazier, OD
• Aimee Fredrickson, MSW, SSW
• Fremont Counseling
• Fremont Counseling Service
• Fremont Counseling Service
• Fremont Counseling Service
• Fremont County Behavioral Health

• Certified Registered Nurse Anesthetist in Riverton, WY
• Providers in Riverton, WY by specialty
• Certified Registered Nurse Anesthetist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.