CASPER WY ENDOSCOPY ASC LLC (NPI# 1962477539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962477539 |
| Entity Type | Organization |
| Organization Name | CASPER WY ENDOSCOPY ASC LLC |
| Other Organization Name | STERLING SURGERY CENTER |
| Practice Address |
1441 Wilkins Cir Casper WY 82601-1337 |
| Practice Telephone | 3072651792 |
| Practice Fax Number | 3072378106 |
| Mailing Telephone | 3072651792 |
| Mailing Fax Number | 3072378106 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
07-125 | WY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1210408-00 | 05 |
| Other Name | Type Code |
|---|---|
| Sterling Surgery Center | Doing Business As Name - Organization |
| Street Address |
1441 WILKINS CIR |
| City | CASPER |
| State | WY |
| Zip Code | 82601-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885233 | Amanda L. Phillips | Nurse Anesthetist, Certified Registered | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2005-07-18 |
| 1972130565 | Breck Groskreutz | Physician Assistant | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2020-03-24 |
| 1669822201 | Jamie Benson | Nurse Practitioner | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2016-06-14 |
| 1962745257 | Aaron Ray Rutz | Nurse Practitioner | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2013-04-04 |
| 1962635300 | Steven C Coxe | Physician Assistant | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2009-09-02 |
| 1043453046 | Jonathan Edward Parrack | Internal Medicine | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2009-04-07 |
| 1265617724 | Tracy Lynn Amadio | Nurse Practitioner | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2008-01-03 |
| 1245436609 | Anna Marie Knopp | Registered Nurse | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2007-06-22 |
| 1881635803 | Mark Milone | Internal Medicine | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2006-06-09 |
| 1740220953 | Karin Diane Berg | Pathology | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| 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 |
| 1942261573 | Wyoming Surgical Center LLC | Clinic/Center | 4140 Centennial Hills Blvd, #c, Casper, WY 82609 | 2006-03-31 |
| 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.