Thunder Basin Orthopaedics and Sports Medicine PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

THUNDER BASIN ORTHOPAEDICS AND SPORTS MEDICINE PC

Practice address

111 S 5TH St
Douglas, WY 82633-2434

Phone

(307) 358-6200

Fax

(307) 358-3748

NPI assigned

Apr 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark G Murphy, MDNPI 1134187008

Title

President

Phone

(307) 358-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Surgical Care of Wyoming, LLC

  • Ambulatory Surgical Clinic/Center
  • Gillette, WY
  • NPI 1639783335

  O20041001000999

  Same enrollment

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Gregory Murphy, MD

  • Orthopaedic Surgery Physician
  • Douglas, WY
  • NPI 1134187008
  Medicare reassignment Care Compare group NPD Authorized official
• Sandra Susanne Gebhart, MD

  • Orthopaedic Hand Surgery Physician
  • Gillette, WY
  • NPI 1164865796

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Todd A Hammond, MD

  • Interventional Pain Medicine Physician
  • Casper, WY
  • NPI 1659359610
  Medicare reassignment Care Compare group NPD
• Tristyn Richendifer, PA-C

  • Surgical Physician Assistant
  • Douglas, WY
  • NPI 1265816466
  Medicare reassignment Care Compare group NPD
• Moriahn Wilson, PA-C

  • Surgical Physician Assistant
  • Gillette, WY
  • NPI 1275175622
  Medicare reassignment Care Compare group NPD
• Shaelynn Hunsicker

  • Physician Assistant
  • Casper, WY
  • NPI 1104475110
  Medicare reassignment NPD
• John Alexander Sielatycki, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Steamboat Springs, CO
  • NPI 1629335658

  WY

  Medicare reassignment NPD
• Joseph Forrest Allegretto, MD

  • Orthopaedic Surgery Physician
  • Gillette, WY
  • NPI 1508823964
  NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1104883461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826330688",
            "telephone_number": "307-358-6200",
            "fax_number": "307-358-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "telephone_number": "307-358-6200",
            "fax_number": "307-358-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDER BASIN ORTHOPAEDICS AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-358-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120503000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie L. Thoma, MA, LPC
• Cody Thomas
• Nikita Thomas
• Michele Thompson, OTR/L M.ED
• Sara Marie Thronburg, MSN, APRN, FNP-C
• Phillip O Tigert, PAC
• TLC Therapies, Inc
• Mark W Townsend, DDS
• Trailhead Inpatient Services, LLC
• Melissa Turner

• Orthopaedic Surgery Physician in Douglas, WY
• Providers in Douglas, WY by specialty
• Orthopaedic Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.