Joseph Forrest Allegretto, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Gillette, WY
NPI 1508823964 · NPPES record last updated Jan 22, 2014
Key facts
- NPI
- 1508823964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 5328A (WY)
- Practice address
- 2901 Powder Basin Ave
Gillette, WY 82718-6406 - Phone
- (307) 682-6222
- Fax
- (307) 682-6999
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5328A | WY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thunder Basin Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Advanced Surgical Care of Wyoming, LLC | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
2901 Powder Basin Ave
Gillette, WY 82718
Phone (307) 358-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5328A | WY | Yes |
Addresses
Primary practice location
2901 Powder Basin Ave
Gillette, WY 82718-6406
Mailing address
PO Box 688
Douglas, WY 82633-0688
Phone (307) 682-6222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108910200 | Medicaid | WY |
Other providers in Gillette, WY
- Albertsons LLC
- Albertsons LLC
- Leah M Albrecht
- Misty Raquel Alexander
- Janet Rumph Allee
- Brent Owen Allen
- Daniel S Allen
- Laura Allen
- Amanda Lukehart and Robbie Holdeman LLC
- Lowell R Amiotte II
All providers in Gillette, WY · Orthopaedic Surgery Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.