Sweetwater Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

05-124 Issued in WY

Legal business name

SWEETWATER SURGERY CENTER LLC

Practice address

2761 Commercial Way
Rock Springs, WY 82901-4753

Phone

(307) 382-6873

Fax

(307) 382-6869

NPI assigned

Jun 14, 2005

Last updated

Nov 2, 2007By 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

Peter Jensen, MD

Title

Medical Director

Phone

(307) 382-6873

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Listed as

Sweetwater Surgery Center LLCCCN 53C0001016

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 1

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

• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1336144617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 COMMERCIAL WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014753",
            "telephone_number": "307-382-6873",
            "fax_number": "307-382-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 COMMERCIAL WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014753",
            "telephone_number": "307-382-6873",
            "fax_number": "307-382-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "307-382-6873",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WY",
            "license": "05-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweetwater County District Board of Health (Sweetwater County Community Nursing Service)
• Sweetwater Foot Care, PC
• Sweetwater Medics LLC (Sweetwater Medics)
• Sweetwater Pediatrics P.C.
• Sweetwater Speaks Speech Therapy PC (Wyoming Speaks Speech Therapy PC)
• Sweetwater Urology
• Robert Shelley Swift, MD
• Banu E Symington, MD
• David William Tarr-Sanchez, DC
• Kailey Tarufelli, APRN-CNP, PMHNP-BC

• Ambulatory Surgical Clinic/Center in Rock Springs, WY
• Providers in Rock Springs, 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 2, 2007; 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.