Organization Active NPI

Consultants in Surgery PC

  • Trauma Surgery Physician
  • Cheyenne, WY
National Provider Identifier
1184766909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
CONSULTANTS IN SURGERY PC
Practice address
5201 Yellowstone Rd
Cheyenne, WY 82009-4741
Phone
(307) 632-1114
Fax
(307) 632-9920
NPI assigned
Feb 12, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Take George Pullos, M.D.
Title
Partner
Phone
(307) 632-1114

National Provider Directory

National Provider Directory

Locations

5201 Yellowstone Rd
Cheyenne, WY 82009
Phone (307) 632-1114

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0127X Primary

Addresses

NPPES NPI Registry

Primary practice location

5201 Yellowstone Rd
Cheyenne, WY 82009-4741

Mailing address

5201 Yellowstone Rd
Cheyenne, WY 82009-4741
Phone (307) 632-1114

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184766909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 YELLOWSTONE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094741",
            "telephone_number": "307-632-1114",
            "fax_number": "307-632-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 YELLOWSTONE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094741",
            "telephone_number": "307-632-1114",
            "fax_number": "307-632-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PULLOS",
        "authorized_official_first_name": "TAKE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "307-632-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.