Daniel Robert Alzheimer, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

5238A Issued in WY

Practice address

1401 W 5TH St
Sheridan, WY 82801-2705

Phone

(307) 672-1048

Fax

(307) 674-6887

NPI assigned

Jun 15, 2005

Reactivated

Apr 4, 2006

Last updated

May 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Radiology PLLC

  dba Big Horn Radiology

  • Diagnostic Radiology Physician
  • Sheridan, WY
  • NPI 1265569586
  Authorized official Same address or phone
• Clear Vision Radiology PLLC

  • Diagnostic Radiology Physician
  • Butte, MT
  • NPI 1033157078
  NPD (past) Authorized official
• Sheridan Radiology, LLC

  • Radiology Clinic/Center
  • Sheridan, WY
  • NPI 1528196136
  NPD (past)
• Better Health Diagnostics

  • Clinical Medical Laboratory
  • Lewisville, TX
  • NPI 1437947850
  NPD (past)
• Black Hills Ultrasound

  • Cardiovascular Specialist/Technologist
  • Summerset, SD
  • NPI 1730317942
  NPD (past)
• Frances Mahon Deaconess Hospital

  dba Deaconess Radiology Service

  • Diagnostic Radiology Physician
  • Glasgow, MT
  • NPI 1013021500
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• St. Peter's Health

  dba Sound Health Imaging - Helena

  • Radiology Clinic/Center
  • Helena, MT
  • NPI 1073557393

  Diagnostic Radiology

  NPD (past)
• University Radiology at Buffalo, Inc.

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1750744751
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1235134438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7328",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370328",
            "telephone_number": "970-663-2742",
            "fax_number": "970-342-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1048",
            "fax_number": "307-674-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZHEIMER",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2019-05-23",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "6547",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-7672",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "5238A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Ridge Healthcare LLC
• Alpine Roots Counseling
• Alternate Health Club LLC
• Alternative Elder Living, Inc. (Green House Living for Sheridan)
• Alvara Health (Alvara)
• Michael Edmund Alzheimer, DPT
• American Air Assistance LLC
• American Thyroid Institute LLC
• Marian Amundsen, PSYD
• Bithia 888-848-Axum (2986) Anderson, PHARM.D., MPA, PH.D.

• Diagnostic Radiology Physician in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Diagnostic Radiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.