Organization Active NPI

Pain Care Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Rock Springs, WY
National Provider Identifier
1023398906
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN CARE CENTER, LLC
Practice address
2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705
Phone
(307) 212-6270
Fax
(307) 212-6271
NPI assigned
Aug 23, 2011
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chet Ruger
Title
Practice Manager
Phone
(307) 212-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705

Mailing address

2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705
Phone (307) 212-6270

Other practice location 1

5850 E 2nd St Unit 100
Casper, WY 82609-4343
Phone (307) 212-6270

Other practice location 2

170 Arrowhead Dr Ste 2
Evanston, WY 82930-9307
Phone (307) 212-6270

Other practice location 3

4136 Laramie St Ste 20
Cheyenne, WY 82001-1969
Phone (307) 212-6270

Other practice location 4

1909 Vista Dr
Laramie, WY 82070-5530
Phone (307) 212-6270

Other practice location 5

15 Shrine Club Rd Ste B
Lander, WY 82520-8502
Phone (307) 212-6270

Other identifiers 1

IdentifierTypeStateIssuer
132443800MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111123000314 WY Part B Supplier - Clinic/Group Practice 4385818681 Receives reassigned benefits from 21 practitioners
Practice locations: Casper, WY; Sheridan, WY; Rock Springs, WY; Lander, WY; Jackson, WY; Evanston, WY; Cheyenne, WY
O20120809000820 WY DME Supplier - Physician - Interventional Pain Management 4385818681 Practice locations: Rock Springs, WY

National Provider Directory

National Provider Directory

Locations

5860 E 2nd St
Ste 100
Casper, WY 82609
Phone (307) 237-7350

4136 Laramie St
Ste 20
Cheyenne, WY 82001

329 Main St
Lander, WY 82520
Phone (307) 288-2328

8160 State Highway 789
Lander, WY 82520
Phone (307) 332-1551

1909 Vista Dr
Bldg C
Laramie, WY 82070

800 Coffeen Ave
Sheridan, WY 82801

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1023398906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 E 2nd St Unit 100",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094343",
            "country_code": "US",
            "telephone_number": "307-212-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Arrowhead Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "WY",
            "postal_code": "829309307",
            "country_code": "US",
            "telephone_number": "307-212-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4136 Laramie St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011969",
            "country_code": "US",
            "telephone_number": "307-212-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820705530",
            "country_code": "US",
            "telephone_number": "307-212-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Shrine Club Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "825208502",
            "country_code": "US",
            "telephone_number": "307-212-6270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "RUGER",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "307-212-6270"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132443800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.