Organization Active NPI

High Plains Surgical Associates, P.C.

  • Surgery Physician
  • Gillette, WY
National Provider Identifier
1194721050
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HIGH PLAINS SURGICAL ASSOCIATES, P.C.
Practice address
3100 W Lakeway Rd Ste 1
Gillette, WY 82718-6373
Phone
(307) 682-7555
Fax
(307) 687-7243
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Sara L. Hartsaw, MDNPI 1881691905
Title
Owner/Physician
Phone
(307) 682-7555

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
Surgery Physician 208600000X Primary

Addresses

Primary practice location

3100 W Lakeway Rd Ste 1
Gillette, WY 82718-6373

Mailing address

PO Box 1272
Gillette, WY 82717-1272
Phone (307) 682-7555

Other practice location 1

1206 W 4th St
Ste 2
Gillette, WY 82716-3300
Phone (307) 682-7555

Other identifiers 1

IdentifierTypeStateIssuer
HAR308412OtherWYBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608000567 WY Part B Supplier - Clinic/Group Practice 7214910793 Receives reassigned benefits from 1 practitioner
Practice locations: Gillette, WY

National Provider Directory

National Provider Directory

Locations

1206 W 4th St
Ste 2
Gillette, WY 82716
Phone (307) 682-3004

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1194721050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827171272",
            "telephone_number": "307-682-7555",
            "fax_number": "307-687-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W LAKEWAY RD STE 1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186373",
            "telephone_number": "307-682-7555",
            "fax_number": "307-687-7243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 W 4th St",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827163300",
            "country_code": "US",
            "telephone_number": "307-682-7555",
            "fax_number": "307-687-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGH PLAINS SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "HARTSAW",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "307-682-7555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HAR308412",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.