Organization Active NPI

Central Wyoming Neurosurgery LLC

  • Neurological Surgery Physician
  • Casper, WY
National Provider Identifier
1235208901
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
CENTRAL WYOMING NEUROSURGERY LLC
Practice address
6600 E 2ND St
Casper, WY 82609-4348
Phone
(307) 266-4000
Fax
(307) 266-4545
NPI assigned
Nov 7, 2006
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Tami Rux
Title
Business Manager
Phone
(307) 473-6730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X WY Primary

Addresses

Primary practice location

6600 E 2ND St
Casper, WY 82609-4348

Mailing address

6600 E 2ND St
Casper, WY 82609-4348
Phone (307) 266-4000

Other identifiers 1

IdentifierTypeStateIssuer
120551000MedicaidWY

National Provider Directory

National Provider Directory

Locations

1026 E 2nd St
Casper, WY 82601
Phone (307) 243-4333

1026 E 2nd St
#7535
Casper, WY 82601

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1235208901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094348",
            "telephone_number": "307-266-4000",
            "fax_number": "307-266-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094348",
            "telephone_number": "307-266-4000",
            "fax_number": "307-266-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WYOMING NEUROSURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "RUX",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "307-473-6730"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120551000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.