Individual provider Active NPI

Gary Richard Sneller II, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Laramie, WY
National Provider Identifier
1245229178
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1909 Vista Dr
Laramie, WY 82070-5599
Phone
(307) 745-8851
Fax
(307) 742-0961
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

1909 Vista Dr
Laramie, WY 82070-5599

Mailing address

1909 Vista Dr
Laramie, WY 82070-5599
Phone (077) 458-8513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130000480 WY Practitioner - Physician Assistant 7012153729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem City Bone and Joint PCGroup PAC ID 0244144715, 21 clinicians

Practice addresses (Care Compare)

1909 Vista Dr
Laramie, WY 82070-5530
Phone (307) 745-8851

7226 Commons Dr
Suite a
Cheyenne, WY 82009-2678
Phone (307) 745-8851

Hospital & facility affiliations

  • Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025
  • Hot Springs County Memorial Hospital Hospital, Thermopolis, WY, CCN 531304
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
  • Memorial Hospital of Carbon County Hospital, Rawlins, WY, CCN 531316
  • North Platte Valley Medical Center Hospital, Saratoga, WY, CCN 531317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gem City Bone & Joint PC CurrentSince Dec 1, 2023 Accepting new patients
Gem City Bone & Joint PC CurrentSince Dec 1, 2023 Accepting new patients
Gem City Bone & Joint PC Past Accepting new patients

Locations

1909 Vista Dr
Laramie, WY 82070
Phone (307) 721-8024

Interoperability endpoints

  • Direct secure messaging: gsneller@premierbonejc1834.srs-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1245229178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 VISTA DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705599",
            "telephone_number": "077-458-8513",
            "fax_number": "307-742-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 VISTA DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705599",
            "telephone_number": "307-745-8851",
            "fax_number": "307-742-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLER",
        "first_name": "GARY",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.