Cowboy Kids Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

7622A Issued in WY

Legal business name

COWBOY KIDS PEDIATRICS

Practice address

5237 HHR Ranch Rd Ste 1
Wilson, WY 83014-9220

Phone

(307) 203-5035

Fax

(949) 655-6058

NPI assigned

Feb 6, 2009

Last updated

Feb 21, 2022By 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

Ruth Anne Smrekar Tomlinson, M.D.NPI 1679509475

Title

Owner/Physician

Phone

(307) 699-0932

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Ruth Anne Smrekar Tomlinson, MD

  • Pediatrics Physician
  • Wilson, WY
  • NPI 1679509475
  NPD Authorized official
• Kimberly Ann Mellick, MSN, FNP-BC

  • Family Nurse Practitioner
  • Jackson, WY
  • NPI 1073897930
  NPD (past)

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1932348414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4755",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830014755",
            "telephone_number": "307-734-0242",
            "fax_number": "307-734-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 HHR RANCH RD STE 1",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830149220",
            "telephone_number": "307-203-5035",
            "fax_number": "949-655-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWBOY KIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "RUTH ANNE",
        "authorized_official_middle_name": "SMREKAR",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "307-699-0932",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "7622A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atk Medicine LLC
• Gillian Butsch Berrian, P.T.
• C-V Ranch Region V Boces
• Patricia Marie Carr
• Caitlin Elizabeth Ciccone, DPT
• Gerald Dorros, MD
• Erin Michelle Downey, DPT
• Charlie Anne Echeverria, DO
• Esther Nicole Ellis, BSN, RN, NBSN
• Teresa Joanne Enright, FNP

• Pediatrics Physician in Wilson, WY
• Providers in Wilson, WY by specialty
• Pediatrics Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.