Active NPI
Uinta General Surgery
- Surgery Physician
- Evanston, WY
National Provider Identifier
1255562690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- TL1200
- Legal business name
- UINTA GENERAL SURGERY
- Practice address
- 196 Arrowhead Dr Ste 4
Evanston, WY 82930-8752 - Phone
- (307) 789-8721
- Fax
- (307) 783-8664
- NPI assigned
- Aug 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jared Breck Barton, M.D.
- Title
- General Surgeon/Owner
- Phone
- (307) 789-8721
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TL1200 | WY | Primary |
Addresses
Primary practice location
196 Arrowhead Dr Ste 4
Evanston, WY 82930-8752
Mailing address
196 Arrowhead Dr Ste 4
Evanston, WY 82930-8752
Phone (307) 789-8721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Evanston, WY
- NPI 1144328949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250208000000",
"number": "1255562690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 ARROWHEAD DR STE 4",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829308752",
"telephone_number": "307-789-8721",
"fax_number": "307-783-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 ARROWHEAD DR STE 4",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829308752",
"telephone_number": "307-789-8721",
"fax_number": "307-783-8664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UINTA GENERAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-03",
"last_updated": "2009-08-14",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "JARED",
"authorized_official_middle_name": "BRECK",
"authorized_official_title_or_position": "GENERAL SURGEON/OWNER",
"authorized_official_telephone_number": "307-789-8721",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "WY",
"license": "TL1200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
- Uinta Counseling, LLC
- Uinta County Ambulance Service
- Uinta Ear, Nose & Throat, PC
- Uinta Emergency Physicians, LLC
- Uinta Eye and Vision LLC (Uinta Eye and Vision)
- Uinta Health Lab, LLC
- Uinta Home Sleep Testing
- Uinta Physical Therapy, Inc.
- Uinta Senior Citizens (Uinta Home Health and Hospice)
- Uinta Senior Citizens (Uinta Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.