Active NPI
John D Barrasso, MD
- Orthopaedic Surgery Physician
- Casper, WY
National Provider Identifier
1396747903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 3503A
- Practice address
- 4140 Centennial Hills Blvd
Suite a
Casper, WY 82609-3265 - Phone
- (307) 265-7205
- Fax
- (307) 235-6262
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 3503A | WY | Primary |
Addresses
Primary practice location
4140 Centennial Hills Blvd
Suite a
Casper, WY 82609-3265
Mailing address
4140 Centennial Hills Blvd
Suite a
Casper, WY 82609-3265
Phone (307) 265-7205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302217 | Other | WY | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3503A | WY | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1396747903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 CENTENNIAL HILLS BLVD",
"address_2": "SUITE 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",
"address_2": "SUITE A",
"city": "CASPER",
"state": "WY",
"postal_code": "826093265",
"telephone_number": "307-265-7205",
"fax_number": "307-235-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRASSO",
"first_name": "JOHN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WY",
"license": "3503A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "302217",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.