WYOMING SURGICAL CENTER LLC (NPI# 1942261573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942261573 |
| Entity Type | Organization |
| Organization Name | WYOMING SURGICAL CENTER LLC |
| Practice Address |
4140 Centennial Hills Blvd #c Casper WY 82609 |
| Practice Telephone | 3074728781 |
| Practice Fax Number | 3074728887 |
| Mailing Telephone | 3074728781 |
| Mailing Fax Number | 3074728887 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | CHARLES ROBERTSON (ADMINISTRATOR) |
| Authorized Official Telephone | 3074728781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
08 012 | WY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | RAILROAD MEDICARE | 490005195 | 01 |
| WY | 116664600 | 05 | |
| WY | BLUE CROSS BLUE SHIELD OF WYOMING | 310945 | 01 |
| Street Address |
4140 CENTENNIAL HILLS BLVD #C |
| City | CASPER |
| State | WY |
| Zip Code | 82609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515672 | Thomas W Landon | Orthopaedic Surgery | 4140 Centennial Hills Blvd, Ste A, Casper, WY 82609-3265 | 2005-08-12 |
| 1730790064 | Renea Redding | Specialist/Technologist, Other | 4140 Centennial Hills Blvd, Casper, WY 82609-3265 | 2020-08-11 |
| 1902398241 | Morgan North | Specialist/Technologist | 4140 Centennial Hills Blvd, Casper, WY 82609-3265 | 2018-06-02 |
| 1265960645 | Kacie Mccleary | Specialist/Technologist | 4140 Centennial Hills Blvd, Casper, WY 82609-3265 | 2017-05-30 |
| 1982021994 | Deborah Ellen Ferguson | Physical Therapist | 4140 Centennial Hills Blvd, Casper, WY 82609-3265 | 2014-03-27 |
| 1164859088 | Geoffrey Stankus | Physical Therapist | 4140 Centennial Hills Blvd, A, Casper, WY 82609-3265 | 2013-10-09 |
| 1437496072 | Sheena M Snyder | Nurse Practitioner | 4140 Centennial Hills Blvd, Ste A, Casper, WY 82609 | 2013-01-15 |
| 1902181860 | Cheryl A Nickerson | Occupational Therapist | 4140 Centennial Hills Blvd, Ste A, Casper, WY 82609-3265 | 2011-10-11 |
| 1851593529 | Robert B Allaire | Orthopaedic Surgery | 4140 Centennial Hills Blvd, Suite A, Casper, WY 82609-3265 | 2007-06-04 |
| 1194858357 | Matthew Gorman | Orthopaedic Surgery | 4140 Centennial Hills Blvd, Ste A, Casper, WY 82609 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520993 | Central Wyoming Outpatient Surgery Center, LLC | Clinic/Center | 1201 E 3rd St, Casper, WY 82601-2932 | 2005-07-07 |
| 1447293113 | Western Ambulatory Surgery LLC | Clinic/Center | 1421 Wilkins Cir, Casper, WY 82601-1337 | 2006-06-13 |
| 1962477539 | Casper Wy Endoscopy Asc LLC | Clinic/Center | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783335 | Advanced Surgical Care of Wyoming, LLC | Clinic/Center | 51 Town Center Dr Ste 140, Gillette, WY 82718-5521 | 2020-09-01 |
| 1063040731 | Powder River Surgery Center | Clinic/Center | 906 W 6th St Ste C, Gillette, WY 82716-3435 | 2020-03-30 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1649725532 | Campbell County Hospital District | Clinic/Center | 906 W 6th St, Gillette, WY 82716-3435 | 2016-08-20 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1811289218 | Fsc LLC | Clinic/Center | 1503 Cressett St, Gillette, WY 82716-3339 | 2011-05-04 |
| 1033342563 | Thomas E. Spicer, Md, PC | Clinic/Center | 1208 Hilltop Dr Ste 103, Rock Springs, WY 82901-5858 | 2009-09-01 |
| 1700042942 | Center for Surgical Excellence Inc | Clinic/Center | 1402 W. 4th Street, Gillette, WY 82716-3328 | 2008-08-06 |
| 1730191651 | Cheyenne Surgical Center LLC | Clinic/Center | 2301 House Ave Suite 200, Cheyenne, WY 82001 | 2006-08-12 |
| 1306826177 | Northern Wyoming Surgical Center | Clinic/Center | 732 Lindsay Ln, Cody, WY 82414-4103 | 2006-01-18 |
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| 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.