Northern Wyoming Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

06014 Issued in WY

Legal business name

NORTHERN WYOMING SURGICAL CENTER, LLC

Practice address

732 Lindsay LN
Cody, WY 82414-4103

Phone

(307) 587-2139

Fax

(307) 587-2365

NPI assigned

Jan 18, 2006

Last updated

Nov 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy Rohde

Title

Administrator

Phone

(307) 587-2139

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Listed as

Northern Wyoming Surgical CenterCCN 53C0001012

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Northern Wyoming Ophthalmology, P.C.

  dba New Image Eyewear

  • Optician
  • Cody, WY
  • NPI 1124220645

  Member Of

  NPD member
• West Park Hospital District Long Term Care Center

  • Skilled Nursing Facility
  • Cody, WY
  • NPI 1467534081

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Northern Wyoming Surgical Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Cody, WY
  • NPI 1740027812

  Member Of

  NPD member

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1306826177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 LINDSAY LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144103",
            "telephone_number": "307-587-2139",
            "fax_number": "307-587-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 LINDSAY LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144103",
            "telephone_number": "307-587-2139",
            "fax_number": "307-587-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WYOMING SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "ROHDE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-587-2139"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WY",
            "license": "06014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115481800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Norman, PHARMD
• Northern DDSP, Inc.
• Northern Wyoming Ophthalmology, P.C. (New Image Eyewear)
• Northern Wyoming Ophthalmology, P.C.
• Northern Wyoming Surgical Anesthesia LLC
• Northwest Wyoming Family Planning
• Diana Lynn Nye, LCSW
• Tonya Ann O'Dell, RN
• Ryan Patrick Oconnor, MS CCCSLP
• Jackie Renee Olenik, COTA/L

• Ambulatory Surgical Clinic/Center in Cody, WY
• Providers in Cody, WY by specialty
• Ambulatory Surgical Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.