FRONTIER SPINE AND ORTHOPEDIC SURGERY, P.C. (NPI# 1881174431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881174431 |
| Entity Type | Organization |
| Organization Name | FRONTIER SPINE AND ORTHOPEDIC SURGERY, P.C. |
| Practice Address |
4401 College Dr Rock Springs WY 82901-3507 |
| Mailing Address |
4117 N. 2600 E Filer ID 83328 |
| Practice Telephone | 3073528930 |
| Practice Fax Number | 3073528947 |
| Mailing Telephone | 8019160829 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | MR. JUSTIN MORONI DAZLEY (ORGANIZER) |
| Authorized Official Telephone | 8019160829 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | TL4296 | WY | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
TL4296 | WY | Allopathic & Osteopathic Physicians |
| Street Address |
4401 COLLEGE DR |
| City | ROCK SPRINGS |
| State | WY |
| Zip Code | 82901-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982719589 | Eric F Meyer | Anesthesiology | 4401 College Dr, Rock Springs, WY 82901-3507 | 2006-08-21 |
| 1932766706 | Aspen Mountain Physician Practice Management | Orthopaedic Surgery | 4401 College Dr, Rock Springs, WY 82901-3507 | 2019-05-28 |
| 1326528977 | Stevenson Orthopedic Services P.llc | Physician Assistant | 4401 College Dr, Rock Springs, WY 82901-3507 | 2018-08-14 |
| 1376079962 | Rural Spine Care PC | Orthopaedic Surgery | 4401 College Dr, Rock Springs, WY 82901-3507 | 2017-05-03 |
| 1821452509 | Pinnacle Anesthesia Services Aspen Mountain LLC | Anesthesiology | 4401 College Dr, Rock Springs, WY 82901-3507 | 2016-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094043 | Carol Mary Iverson | Naturopath | 120 Winston Dr., Ste. 101, Rock Springs, WY 82901 | 2020-02-12 |
| 1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
| 1588149181 | Ali Pendleton | Case Manager/Care Coordinator | 79 Winston #235, Rock Springs, WY 82901 | 2018-09-28 |
| 1982142014 | Tammy Fausett | Speech-Language Pathologist | 1105 Applewood Drive, Rock Springs, WY 82901 | 2017-02-09 |
| 1649713983 | Lori Lee Cunningham | Case Manager/Care Coordinator | 325 Archers Trl, Rock Springs, WY 82901 | 2016-11-18 |
| 1841664505 | Theresa Morrison | Case Manager/Care Coordinator | 308 Peak Road, Rock Springs, WY 82901 | 2015-11-18 |
| 1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
| 1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
| 1114201845 | Cowboy Urgent Care, Inc | General Practice | 1453-a Dewar Drive, Rock Springs, WY 82901 | 2011-09-29 |
| 1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
| Find all providers in zip 82901 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376079962 | Rural Spine Care PC | Orthopaedic Surgery | 4401 College Dr, Rock Springs, WY 82901-3507 | 2017-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053476242 | Mary C Neal | Orthopaedic Surgery | 945 W Broadway, Jackson, WY 83001 | 2006-12-27 |
| 1427168996 | W. Carlton Reckling | Orthopaedic Surgery | 800 E 20th St, Suite 300, Cheyenne, WY 82001-3859 | 2006-08-30 |
| 1093795056 | Lawrence A Jenkins | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070 | 2006-01-18 |
| City | ROCK SPRINGS |
| Zip Code | 82901 |
Please comment or provide details below to improve the information on FRONTIER SPINE AND ORTHOPEDIC SURGERY, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.