Organization Active NPI

Scott M. Sulentich MD PC

  • Plastic Surgery Physician
  • Rock Springs, WY
National Provider Identifier
1184811838
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
32976 Issued in CO
Legal business name
SCOTT M. SULENTICH MD PC
Practice address
1180 College Dr Ste 3-3
Rock Springs, WY 82901-5863
Phone
(307) 362-8211
Fax
(307) 382-3451
NPI assigned
Sep 26, 2007
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Scott Michael Sulentich, MDNPI 1386738136
Title
Owner/President
Phone
(307) 362-8211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 32976 CO Primary

Addresses

Primary practice location

1180 College Dr Ste 3-3
Rock Springs, WY 82901-5863

Mailing address

1180 College Dr Ste 3-3
Rock Springs, WY 82901-5863
Phone (307) 362-8211

Other practice location 1

800 Weiss Dr Unit D
Steamboat Springs, CO 80487-9321
Phone (970) 879-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040413001242 CO Part B Supplier - Clinic/Group Practice 8729072624 Receives reassigned benefits from 1 practitioner
Practice locations: Steamboat Springs, CO
O20110309000633 WY Part B Supplier - Clinic/Group Practice 8729072624 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Springs, WY

National Provider Directory

National Provider Directory
Tax ID family
Scott M Sulentich MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1184811838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 COLLEGE DR STE 3-3",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015863",
            "telephone_number": "307-362-8211",
            "fax_number": "307-382-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 COLLEGE DR STE 3-3",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015863",
            "telephone_number": "307-362-8211",
            "fax_number": "307-382-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Weiss Dr Unit D",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804879321",
            "country_code": "US",
            "telephone_number": "970-879-4444",
            "fax_number": "307-382-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTT M. SULENTICH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "SULENTICH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "307-362-8211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "32976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.