Active NPI
Kenneth William Schulze Jr., MD
- Orthopaedic Surgery Physician
- Rawlins, WY
National Provider Identifier
1538239454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5186A
- Practice address
- 2012 W Elm Street
Rawlins, WY 82301 - Phone
- (307) 324-6022
- Fax
- (307) 324-3835
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5186A | WY | Primary |
Addresses
Primary practice location
2012 W Elm Street
Rawlins, WY 82301
Mailing address
2012 W Elm Street
Rawlins, WY 82301
Phone (307) 324-6022
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101847700 | Medicaid | WY | |
| 20012453 | Other | WY | RR MEDICARE |
| 836000025-24 | Other | WY | TRICARE |
| 106366900 | Medicaid | WY | |
| 00972001 | Other | WY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5186A | WY | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1538239454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 W ELM STREET",
"city": "RAWLINS",
"state": "WY",
"postal_code": "82301",
"telephone_number": "307-324-6022",
"fax_number": "307-324-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 W ELM STREET",
"city": "RAWLINS",
"state": "WY",
"postal_code": "82301",
"telephone_number": "307-324-6022",
"fax_number": "307-324-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZE",
"first_name": "KENNETH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WY",
"license": "5186A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101847700",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "20012453",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "836000025-24",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106366900",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00972001",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rawlins, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.