MEDICARE: TIMOTHY D. NOSTRUM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	11729A	WY

General Provider Information

NPI Number	:	1306296439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY D. NOSTRUM M.D.

Provider Business Mailing Address
First Line	:	1255 ROSEWOOD CT
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-9154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1898 FORT RD
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-8322
Country	:	US
Telephone Number	:	307-672-3473
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2016
Last Update Date	:	04/08/2020

Similar Medicare Providers

1609229319 — LITTLE GOOSE THERAPY LLC
Practice Location Address:

345 S LINDEN AVE
SHERIDAN, WY
82801-4709

Practice Phone: 307-683-0123
Practice Fax: 307-683-0101

1336689074 — MS. LAURA RUTH BLANEY MSW
Practice Location Address:

360 COLLEGE MEADOWS DR
SHERIDAN, WY
82801-9153

Practice Phone: 307-673-2510
Practice Fax:

1912840562 — LINDSAY ANN MARTIN
Practice Location Address:

545 N SHERIDAN AVE APT 201
SHERIDAN, WY
82801-3767

Practice Phone: 307-277-0337
Practice Fax:

1235134438 — DR. DANIEL ROBERT ALZHEIMER M.D.
Practice Location Address:

1401 W 5TH ST
SHERIDAN, WY
82801-2705

Practice Phone: 307-672-1048
Practice Fax: 307-674-6887

1063417954 — DR. SUSAN K. ROBERTS M.D.
Practice Location Address:

1842 SUGARLAND DR , SUITE 101
SHERIDAN, WY
82801-5719

Practice Phone: 307-673-4960
Practice Fax: 307-673-4951

1689670374 — JAMIE ALEX RAMSAY MD
Practice Location Address:

1405 WEST 5TH , ANESTHESIOLOGY
SHERIDAN, WY
82801

Practice Phone: 307-672-1000
Practice Fax:

Directions to “ TIMOTHY D. NOSTRUM M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.