Surgical Associates of Northern Wyoming, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF NORTHERN WYOMING, P.C.

Practice address

1021 9TH St
Cody, WY 82414-3433

Phone

(307) 587-1257

Fax

(307) 587-7394

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

James L Johnson II, M.D.NPI 1215926985

Title

President

Phone

(307) 587-1257

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• James L Johnson II, M.D.

  • Surgery Physician
  • Cody, WY
  • NPI 1215926985
  NPD (past) Authorized official

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1477542231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 MOUNTAIN VIEW ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352232",
            "telephone_number": "307-754-4559",
            "fax_number": "307-754-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 9TH ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143433",
            "telephone_number": "307-587-1257",
            "fax_number": "307-587-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF NORTHERN WYOMING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-587-1257",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00004001",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ4682",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashle Rene' Stroble, MD
• Samantha Strow
• Jon-Rene Christopher Suffern, MD
• Summit Family Counseling, LLC
• Sunlight Speech & Language Services, Inc.
• Lori Grubbs Swanton, PT, DPT
• Cody Tarr, RN
• Dina D Tassione, PH.D.
• Alisha Dawn Taylor
• Eric David Taylor, DDS

• Surgery Physician in Cody, WY
• Providers in Cody, WY by specialty
• Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.