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

Last updated

Jan 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Darcy Lee Carter, CPC CCSP

Title

Billing

Phone

(307) 631-4212

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "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": "",
            "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 (Aligned Providers of Wyoming)
• Summit Pathology
• Summit Spine and Neurosurgery Associates
• Sunlight Dental
• Sunrise Chiropractic Inc
• Sunrise Therapeutic Services LLC
• Supportive Care of Wyoming LLC

• Neurological Surgery Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• 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.