Gannett Peak Physical Medicine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GANNETT PEAK PHYSICAL MEDICINE LLC

Practice address

745 Buena Vista Dr
Lander, WY 82520-3431

Phone

(307) 335-4104

Fax

(307) 335-4143

NPI assigned

Jan 3, 2013

Last updated

Jan 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Campbell, MD

Title

Physician/Owner

Phone

(307) 335-4104

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1700123288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 BUENA VISTA DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203431",
            "telephone_number": "307-335-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 BUENA VISTA DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203431",
            "telephone_number": "307-335-4104",
            "fax_number": "307-335-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANNETT PEAK PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "307-335-4104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyvonne Fronning
• Frontier Wyoming, L.L.C. (Frontier Home Health and Hospice)
• Frontier Wyoming, L.L.C. (Frontier Home Health and Hospice)
• Bruce E Gallinger
• Kacie McKenna Gallo, M.D.
• Ashleigh Gardner
• Matthew Gardner, NRP
• Lindsey Gauderer
• Wendy Michelle Gebhart, N.D., LAC
• Brian Dale Gee, MD

• Physical Medicine & Rehabilitation Physician in Lander, WY
• Providers in Lander, WY by specialty
• Physical Medicine & Rehabilitation Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.