Daniel E Surdam, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

7206A Issued in WY

Practice address

214 E 23Rd St
Cheyenne, WY 82001-3748

Phone

(307) 634-2273

Fax

(307) 633-7671

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY, TX, CO3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Emergency Medicine

Education

Creighton University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hemphill County Hospital Hospital, Canadian, TX, CCN 671301

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAIAAA
• FHIR API: https://api.platform.athenahealth.com/22626/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Care United Medical Center of Laramie, LLC

  • Multi-Specialty Clinic/Center
  • Laramie, WY
  • NPI 1063720605

  CO, WY

  Medicare reassignment NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711

  Emergency Medicine, TX

  Medicare reassignment NPD
• Hemphill County Hospital District

  • Rural Health Clinic/Center
  • Canadian, TX
  • NPI 1720404924

  TX

  Medicare reassignment NPD
• Instaclinic, LLC

  • Clinic/Center
  • Dallas, TX
  • NPI 1659978401

  CO, TX, WY

  Medicare reassignment NPD
• Integrative Emergency Services Physician Group PA

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1285922542

  Emergency Medicine, TX

  Medicare reassignment NPD
• Midland Emergency Managers PLLC

  • Emergency Medicine Physician
  • Midland, TX
  • NPI 1720673122

  Emergency Medicine, TX

  Medicare reassignment NPD
• Frontier Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Cheyenne, WY
  • NPI 1174649909

  Emergency Medicine

  NPD (past) Authorized official
• Frontier Medical Providers

  • Urgent Care Clinic/Center
  • Cheyenne, WY
  • NPI 1437416443
  NPD (past) Authorized official
• Instaclinic LLC

  • Clinic/Center
  • Cheyenne, WY
  • NPI 1487366332
  NPD
• Canadian Family Physicians, PLLC

  • Case Manager/Care Coordinator
  • Canadian, TX
  • NPI 1689806523
  NPD
• Hemphill County Hospital District

  • Critical Access Hospital
  • Canadian, TX
  • NPI 1578436671
  NPD
• Emergency Associates of Wyoming, LLC

  • Emergency Medicine Physician
  • Cheyenne, WY
  • NPI 1124041140

  Emergency Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hemphill County Hospital District

  • Critical Access Hospital
  • Canadian, TX
  • NPI 1437851235

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1184697666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 W MINERAL AVE",
            "address_2": "SUITE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205685",
            "telephone_number": "303-759-0854",
            "fax_number": "303-759-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "307-634-2273",
            "fax_number": "307-633-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURDAM",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "7206A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121739900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Chiropractic Inc
• Sunrise Therapeutic Services LLC
• Supportive Care of Wyoming LLC
• Sandra K Surbrugg, MD
• Amy R Surdam, NP
• Linnaea Despain Sutphin
• Leona L. Sutton, R.N.
• Kimberley Svoboda, LPN
• Patricia Ann Swan-Smith, LCPC, LPC
• Terri Sueann Swanson

• All providers in Cheyenne, WY
• Emergency Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.