Pain Care Center, LLC
Organization Active NPI Pain Medicine Physician · Sheridan, WY
NPI 1548020746 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1548020746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- Legal business name
- PAIN CARE CENTER, LLC
- Practice address
- 800 Coffeen Ave Ste B
Sheridan, WY 82801-5352 - Phone
- (307) 212-6270
- Fax
- (307) 212-6271
- NPI assigned
- Mar 22, 2024
- Organization subpart
- No
Authorized official
- Name
- Randal Chet Ruger
- Title
- Managing Partner
- Phone
- (307) 267-2116
Practitioners 21
-
Kelsie Anderson, DNP, FNP-BC
-
Brenda Kaye Barker, FNP-C
-
Jill Roccaro Bass, APRN, CSN
-
James David Benson, AGNP-C, PHD
-
Marie Beth Bohrer, APRN
-
Robert A Campbell, M.D.
-
Parry Davison, CRNA
-
Barbara Jo Juarez, AGNP
-
Kathleen Ann Petro, FNP-BC
-
Kelly Jo Plessman, FNP, AANPC
-
Trisha Rose, MSN RN FNP-BC
-
Jennifer Lynn Rosics, PA-C
-
Jed Shay, M.D.
-
Sharlotte Jane Shore, RNFA
-
Laura L Wells, NP
-
Rina Myklak, NP
-
Ryan Chad Ruger, MD
-
Ruben Tchounbia, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2301273 | Pain Care Center LLC | Certificate of waiver | Mar 21, 2028 |
National Provider Directory
Locations
4136 Laramie St
Unit A
Cheyenne, WY 82001
Phone (307) 633-8100
1909 Vista Dr
Bldg C
Laramie, WY 82070
1575 Dewar Dr
Ste 430
Rock Springs, WY 82901
Phone (520) 404-6477
1208 Hilltop Dr
Ste 101
Rock Springs, WY 82901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | Yes |
Addresses
Primary practice location
800 Coffeen Ave Ste B
Sheridan, WY 82801-5352
Mailing address
2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705
Phone (307) 212-6270
Other names
- Pain Care Centers
Other providers in Sheridan, WY
- Jason L Otto
- Oxygen & Medical Equipment Rental Center Inc
- Oys LLC
- Dusty Pack
- Brielle Pagett
- Kelly Papesh
- Cathy J Parish
- Kevin James Parker
- Michelle Renee Parker
- Amanda Parks
All providers in Sheridan, WY · Pain Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.