OrganizationActive
Clinical Colleagues Inc
NPI 1134643604 · Anesthesiology Physician · Riverton, WY
Provider details
- NPI number
- 1134643604
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Clinical Colleagues Inc
- Organization subpart
- Yes
- Authorized official
- Paul Gerdes, Managing Partner(800) 494-3964
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2100 W Sunset Dr
Riverton, WY 82501-2274
Phone: (800) 494-3964
Fax: (954) 570-0317
Street-level locationGet directions
Mailing address
Po Box 824246
Philadelphia, PA 19182-4246
Other names (DBA / former)
- Doing business as
- Clinical Colleagues Inc
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.