Powder River Orthopedics & Spine PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

POWDER RIVER ORTHOPEDICS & SPINE PC

Practice address

508 Stocktrail Ave
Ste a
Gillette, WY 82716-3582

Phone

(307) 686-1413

Fax

(307) 682-1113

NPI assigned

Sep 2, 2005

Last updated

Nov 1, 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

Michelle M Mordecai

Title

Office Manager

Phone

(307) 686-1413

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Fraicola, PA-C

  • Physician Assistant
  • Gillette, WY
  • NPI 1912681800
  NPD (past)
• Jason E Higgs, PA

  • Physician Assistant
  • Gillette, WY
  • NPI 1851826408
  NPD (past)
• Dylan Lindsay, PA-C

  • Physician Assistant
  • Gillette, WY
  • NPI 1376321406
  NPD (past)
• Daniel Allen McKearney, MD

  • Orthopaedic Surgery Physician
  • Gillette, WY
  • NPI 1902467129
  NPD (past)
• James A. Ulibarri, M.D.

  • Orthopaedic Surgery Physician
  • Sheridan, WY
  • NPI 1578586269
  NPD (past)
• Jordyn Riley Walter, PA-C

  • Physician Assistant
  • Gillette, WY
  • NPI 1043026685
  NPD (past)
• Candace M Winters, PA

  • Physician Assistant
  • Gillette, WY
  • NPI 1023130440
  NPD (past)
• Crystal L Skovly, PAC

  • Medical Physician Assistant
  • Bozeman, MT
  • NPI 1760764054
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1356335533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 STOCKTRAIL AVE",
            "address_2": "STE A",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163582",
            "telephone_number": "307-686-1413",
            "fax_number": "307-682-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 STOCKTRAIL AVE",
            "address_2": "STE A",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163582",
            "telephone_number": "307-686-1413",
            "fax_number": "307-682-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWDER RIVER ORTHOPEDICS & SPINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MORDECAI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-686-1413"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00845001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric L Porter
• Greg D Pound, DPM
• Powder River Behavior Consultation, LLC
• Powder River Counseling and Wellness
• Powder River Dental Associates, LLC (Prda, LLC)
• Powder River Physical Medicine & Rehabilitation, LLC
• Powder River Surgery Center
• Prairie Sky Dental
• Premise Health of Wyoming Medical PC (Coalition Family Health Center)
• Preuit & Daigle Professional Counseling P.C.

• Orthopaedic Surgery Physician in Gillette, WY
• Providers in Gillette, WY by specialty
• Orthopaedic Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.