Dylan Powell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

437 Issued in WY

Practice address

2751 Commercial Way
Rock Springs, WY 82901-4753

Phone

(307) 382-7414

Fax

(307) 382-7396

NPI assigned

Sep 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Hunter Family Medical Clinic PC

  • Family Medicine Physician
  • Rock Springs, WY
  • NPI 1538200761
  Medicare reassignment

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1457548083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 COMMERCIAL WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014753",
            "telephone_number": "307-382-7414",
            "fax_number": "307-382-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 COMMERCIAL WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014753",
            "telephone_number": "307-382-7414",
            "fax_number": "307-382-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DYLAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457548083",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeleine Jeanne Pitsch, ED.S. IN SCHOOL PSYC
• Chad Pluid, LMT
• Melanie Plummer
• Dawn Kelli Pokett
• May M Poundstone, MD
• Melinda J. Poyer, D.O.
• Emily J Pugmire
• Megan Lynn Purcell, BS
• Alisha Marie Putnam
• QRC LLC

• Medical Physician Assistant in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Medical Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.