Central Wyoming Outpatient Surgery Center, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Casper, WY
NPI 1174520993 · NPPES record last updated Jun 23, 2010
Key facts
- NPI
- 1174520993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 06-007 (WY)
- Legal business name
- CENTRAL WYOMING OUTPATIENT SURGERY CENTER, LLC
- Practice address
- 1201 E 3Rd St
Casper, WY 82601-2932 - Phone
- (307) 577-2950
- Fax
- (307) 577-2954
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. James Sigler
- Title
- Administrator
- Phone
- (307) 577-2964
Member of 1
Practitioners 1
-
John H Nelson, DPM
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Central Wyoming Outpatient Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D0977423 | Central Wyoming Outpatient Surgery Ctr | Certificate of waiver | Aug 24, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100702000074 | WY | Part B Supplier - Ambulatory Surgical Center | 3173654340 | Practice locations: Casper, WY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 06-007 | WY | Yes |
Addresses
Primary practice location
1201 E 3Rd St
Casper, WY 82601-2932
Mailing address
1201 E 3Rd St
Casper, WY 82601-2932
Phone (307) 577-2950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115663200 | Medicaid | WY |
Other names
- Casper Surgical Center
Other providers in Casper, WY
- Central Wyoming Eye Clinic, PC
- Central Wyoming Hospice Program
- Central Wyoming Neurology, LLC
- Central Wyoming Neurosurgery LLC
- Central Wyoming Optometric Center PC
- Central Wyoming Oxygen, LLC
- Central Wyoming Pathologists PC
- Central Wyoming Skin Clinic PC
- Central Wyoming Speech Therapy Services, Inc
- Central Wyoming Therapy, LLC
All providers in Casper, WY · Ambulatory Surgical Clinic/Center in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.