Tatum-Mere Health and Community Services Inc.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

7706A Issued in WY

Legal business name

TATUM-MERE HEALTH AND COMMUNITY SERVICES INC.

Practice address

1208 Hilltop Dr Ste 203
Rock Springs, WY 82901-5859

Phone

(307) 212-9472

Fax

(307) 460-7411

NPI assigned

Jun 1, 2011

Organization subpart

No

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

Authorized official

Name

Kristen Preisch

Title

Administrator

Phone

(307) 212-9472

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southwest Pain Management Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tatum-Mere Health and Community Serv Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Rock Springs, WY
  • NPI 1134352560

  O20091014000119

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Vashon Mack, MD

  • Anesthesiology Physician
  • Rock Springs, WY
  • NPI 1639203664
  NPD

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1265726871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR STE 203",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015859",
            "telephone_number": "307-212-9472",
            "fax_number": "307-460-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR STE 203",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015859",
            "telephone_number": "307-212-9472",
            "fax_number": "307-460-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATUM-MERE HEALTH AND COMMUNITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "PREISCH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-212-9472"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WY",
            "license": "7706A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124146000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Shelley Swift, MD
• Banu E Symington, MD
• David William Tarr-Sanchez, DC
• Kailey Tarufelli, APRN-CNP, PMHNP-BC
• Tatum-Mere Health and Community Serv Inc.
• Margaret Rose Taylor
• Ryan C. Taylor, DDS
• Terry Donaldson MD, PC.
• The Eye Institute of Utah
• Thomas E Spicer, MD-PC

• Pain Medicine (Anesthesiology) Physician in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Pain Medicine (Anesthesiology) Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.