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RESTORE MEDICAL GROUP HOLDINGS LLC NPI 1174262034


NPI Information

NPI: 1174262034
Provider Name: RESTORE MEDICAL GROUP HOLDINGS LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1309 COFFEEN AVE STE 1200
SHERIDAN, WY
ZIP 82801
Phone: (720) 678-9868
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RESTORE MEDICAL GROUP HOLDINGS LLC is an internal medicine in Sheridan, WY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. RESTORE MEDICAL GROUP HOLDINGS LLC NPI is 1174262034. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1309 COFFEEN AVE STE 1200
SHERIDAN, WY
ZIP 82801-777
Phone: (720) 678-9868
Fax: (720) 678-9860

The provider's authorized official is Shawn Barrieau .
The authorized official title is Owner and has the following contact phone number (970) 729-2727.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 11/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WW0000XRegistered NurseWound CareNo
2174400000XSpecialistNo
3207Q00000XFamily MedicineNo
4363L00000XNurse PractitionerNo
5207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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