Active NPI
Rural Spine Care PC
- Orthopaedic Surgery of the Spine Physician
- Rock Springs, WY
National Provider Identifier
1376079962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 10140A
- Legal business name
- RURAL SPINE CARE PC
- Practice address
- 4401 College Dr
Rock Springs, WY 82901-3507 - Phone
- (970) 819-0697
- NPI assigned
- May 3, 2017
- 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
- Henry Fabian Jr., MD
- Title
- Owner/Physician
- Phone
- (970) 819-0697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 10140A | WY | Primary |
Addresses
Primary practice location
4401 College Dr
Rock Springs, WY 82901-3507
Mailing address
4401 College Dr
Rock Springs, WY 82901-3507
Phone (307) 352-8946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2624 Commercial Way
Ste B
Rock Springs, WY 82901
Phone (307) 382-3753
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1376079962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829013507",
"telephone_number": "307-352-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829013507",
"telephone_number": "970-819-0697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RURAL SPINE CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-03",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "FABIAN",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "970-819-0697",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "WY",
"license": "10140A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.