Summit Spine & Neurosurgery Associates PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

6709A Issued in WY

Legal business name

SUMMIT SPINE & NEUROSURGERY ASSOCIATES PC

Practice address

2301 House Ave
Suite 505
Cheyenne, WY 82001-3176

Phone

(307) 632-9261

Fax

(888) 869-7201

NPI assigned

Jan 10, 2011

Organization subpart

No

Name

Miss Darcy Lee Carter, CPC CCSP

Title

Billing

Phone

(307) 631-4212

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2011.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1487958153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "SUITE 505",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013176",
            "telephone_number": "307-632-9261",
            "fax_number": "888-869-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "SUITE 505",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013176",
            "telephone_number": "307-632-9261",
            "fax_number": "888-869-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPINE & NEUROSURGERY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "307-631-4212",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CPC CCSP"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "WY",
            "license": "6709A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119195100",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00135442",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Sulzen
• Linda Marie Summers
• Summit Hospitalist Group LLC
• Summit Medical Group, LLC
• Summit Pathology
• Summit Spine and Neurosurgery Associates
• Sunlight Dental
• Sunrise Chiropractic Inc
• Sunrise Therapeutic Services LLC
• Supportive Care of Wyoming LLC

• All providers in Cheyenne, WY
• Neurological Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.