Rowan E Tichenor MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2634A Issued in WY

Legal business name

ROWAN E TICHENOR MD PC

Practice address

1119 E 3Rd St
Casper, WY 82601-2905

Phone

(307) 266-2772

Fax

(307) 266-2076

NPI assigned

Mar 12, 2007

Last updated

Oct 3, 2007By 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. Rowan E Tichenor, MDNPI 1093713067

Title

President

Phone

(307) 266-2772

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rowan E Tichenor, MD

  • Dermatology Physician
  • Casper, WY
  • NPI 1093713067
  Authorized official Same address or phone

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1932231081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E 3RD ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012905",
            "telephone_number": "307-266-2772",
            "fax_number": "307-266-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E 3RD ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012905",
            "telephone_number": "307-266-2772",
            "fax_number": "307-266-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWAN E TICHENOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "TICHENOR",
        "authorized_official_first_name": "ROWAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-266-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WY",
            "license": "2634A",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "WY",
            "license": "2634A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Rosty, PT
• Rebecca Rothenberg, MA, CCC-SLP
• Cari W Rothenhoefer, LCSW
• Kevin A Roush, CST FA
• John Elias Roussalis II, DDS MS
• Sarah J Rowland
• Roy E. Paulson Jr PC (Casper Children's Dental Clinic)
• Laura Amanda Roy, MSW, LCSW
• Robert Royse, DPT
• Stuart J Ruben, M.D.

• Dermatology Physician in Casper, WY
• Providers in Casper, WY by specialty
• Dermatology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.