Active NPI
Jay A Winzenried, M.D.
- Orthopaedic Surgery Physician
- Cody, WY
National Provider Identifier
1083603047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 6422A
- Practice address
- 721 Sheridan Ave Ste 130
Cody, WY 82414-3436 - Phone
- (307) 527-7100
- Fax
- (307) 527-7145
- NPI assigned
- Oct 20, 2005
- Last updated
- Aug 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4931310001 | WY | |
| Orthopaedic Surgery Physician | 207X00000X | 6422A | WY | Primary |
Addresses
Primary practice location
721 Sheridan Ave Ste 130
Cody, WY 82414-3436
Mailing address
721 Sheridan Ave Ste 130
Cody, WY 82414-3436
Phone (307) 527-7100
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065059 | Medicaid | MT | |
| 312326 | Other | WY | BLUE CROSS BLUE SHEILD |
| 4931310001 | Other | WY | DMERC |
| P00096957 | Other | WY | RAILROAD MEDICARE |
| 115812100 | Medicaid | WY | |
| 115812101 | Other | WY | MEDICAID DME |
| 486921300 | Other | WY | FEDERAL WORK COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034 | WY | MD | Midwife |
| 6422A | WY | MD | Orthopaedic Surgery Physician |
| 4931310001 | WY | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics of Jackson Hole PC | Orthopaedic Surgery | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Cody, WY
- NPI 1760471726
-
dba Teton Orthopaedics
- Orthopaedic Surgery Physician
- Jackson, WY
- NPI 1336221712
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1083603047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 SHERIDAN AVE STE 130",
"city": "CODY",
"state": "WY",
"postal_code": "824143436",
"telephone_number": "307-527-7100",
"fax_number": "307-527-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 SHERIDAN AVE STE 130",
"city": "CODY",
"state": "WY",
"postal_code": "824143436",
"telephone_number": "307-527-7100",
"fax_number": "307-527-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINZENRIED",
"first_name": "JAY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WY",
"license": "4931310001",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WY",
"license": "6422A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0065059",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "312326",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4931310001",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00096957",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115812100",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "115812101",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORK COMP",
"identifier": "486921300",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.