Wyoming Reconstructive & Plastic Surgery LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

WYOMING RECONSTRUCTIVE & PLASTIC SURGERY LLC

Practice address

918 E 2ND St
Casper, WY 82601-2625

Phone

(307) 472-4300

Fax

(307) 472-4311

NPI assigned

Sep 28, 2006

Organization subpart

Yes

Parent organization

WYOMING MEDICAL CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mr. Nathan Stutte

Title

External Financial Controller

Phone

(307) 577-2767

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Stenquist Sco

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard M. Jaouen, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Casper, WY
  • NPI 1336177120
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1417048810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51076",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82605",
            "telephone_number": "307-472-4300",
            "fax_number": "307-472-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012625",
            "telephone_number": "307-472-4300",
            "fax_number": "307-472-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING RECONSTRUCTIVE & PLASTIC SURGERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYOMING MEDICAL CENTER, INC.",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "STUTTE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "EXTERNAL FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "307-577-2767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06059001",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF9302",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyoming Otolaryngology, P.C.
• Wyoming Physiatry Inc
• Wyoming Premier Anesthesia
• Wyoming Psychiatry & Consultation LLC
• Wyoming Psychiatry, LLC
• Wyoming Retina Associates, PC
• Wyoming Sleep Diagnostics, Inc.
• Wyoming Surgical Associates PC
• Wyoming Surgical Center LLC
• Wyoming Surgical Center MRI

• Plastic and Reconstructive Surgery Physician in Casper, WY
• Providers in Casper, WY by specialty
• Plastic and Reconstructive Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.