Individual provider Active NPI

Paul Jordan Hannon, MD

  • Orthopaedic Surgery Physician
  • Casper, WY
National Provider Identifier
1316408172
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
18336A Issued in WY
Practice address
4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265
Phone
(307) 265-7205
Fax
(307) 235-6262
NPI assigned
Mar 26, 2019
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 18336A WY Primary
Orthopaedic Hand Surgery Physician 207XS0106X 18336A WY

Addresses

Primary practice location

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265

Mailing address

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265
Phone (307) 265-7205

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428001308 WY Practitioner - Orthopedic Surgery 9032656046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians
Casper Orthopaedic Associates PCGroup PAC ID 9436148624, 30 clinicians

Practice addresses (Care Compare)

148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146

4140 Centennial Hills Blvd
Suite a
Casper, WY 82609-3265
Phone (307) 265-7205

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)20
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Orthopaedic Associates PC Orthopaedic Surgery CurrentSince Apr 22, 2025 Accepting new patients
Casper Orthopaedic Associates PC Orthopaedic Surgery CurrentSince Apr 22, 2025 Accepting new patients

Locations

4140 Centennial Hills Blvd
Ste A
Casper, WY 82609
Phone (307) 472-8871

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1316408172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "PAUL",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WY",
            "license": "18336A",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "WY",
            "license": "18336A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.