Active NPI
Celina Frances Tolge, M.D.
- Neurology Physician
- Cheyenne, WY
National Provider Identifier
1134124134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 6308A
- Practice address
- 2301 House Ave
Suite 203
Cheyenne, WY 82001-3176 - Phone
- (307) 432-0335
- Fax
- (307) 432-0341
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 33637 | CO | |
| Neurology Physician | 2084N0400X | 6308A | WY | Primary |
Addresses
Primary practice location
2301 House Ave
Suite 203
Cheyenne, WY 82001-3176
Mailing address
PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 432-0335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134124134 | Medicaid | WY | |
| 01336379 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33637 | CO | MD | Neurology Physician |
| 6308A | WY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Front Range Neurology PC | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Greeley, CO
- NPI 1417027970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1134124134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20970",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820037020",
"telephone_number": "307-432-0335",
"fax_number": "307-432-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOUSE AVE",
"address_2": "SUITE 203",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013176",
"telephone_number": "307-432-0335",
"fax_number": "307-432-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLGE",
"first_name": "CELINA",
"middle_name": "FRANCES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "33637",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WY",
"license": "6308A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134124134",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01336379",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.