Dr. Ivan S Ankenbrandt , MD
General Practice • Wilson, WY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivan Ankenbrandt has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Ivan Ankenbrandt, MD was a registered General Practice practicing in Wilson, WY. Throughout an active medical career spanning 5 years, Dr. Ankenbrandt provided care at the practice location at 3055 BRIDGER RD. until profile deactivation on 2017-12-15.
Practice Location & Contact Primary Location
3055 Bridger Rd.
Wilson, WY 83014
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Wilson, WY
Practicing in Wilson, WY (23 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 15, 2017
NPI status registered as active in NPPES database
Registered at 3055 BRIDGER RD., WILSON, WY 83014 (Tel: 3077339177)
Registered at PO BOX 311, TETON VILLAGE, WY 830250311 (Tel: 3077339177)
Recorded as IVAN ANKENBRANDT, M.D.
General Practice (License #3274A in WY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
Po Box 311
Teton Village, WY 830250311
Phone: 3077339177
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