Frontier Orthopedic Services, PC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

C12686 Issued in WY

Legal business name

FRONTIER ORTHOPEDIC SERVICES, PC

Practice address

611 E. Carlson Street
Suite 115
Cheyenne, WY 82009-4311

Phone

(307) 637-3131

Fax

(307) 637-4405

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Frederick Jackson, BOCP

Title

Owner/Practitioner

Phone

(307) 637-3131

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Leslie Michelle Thomas, PT

  • Physical Therapist
  • Cheyenne, WY
  • NPI 1689811234
  NPD (past)
• Mark L Weaver, PT

  • Physical Therapist
  • Pinedale, WY
  • NPI 1801949045
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1629089792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E. CARLSON STREET",
            "address_2": "SUITE 115",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094311",
            "telephone_number": "307-637-3131",
            "fax_number": "307-637-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E. CARLSON STREET",
            "address_2": "SUITE 115",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094311",
            "telephone_number": "307-637-3131",
            "fax_number": "307-637-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER ORTHOPEDIC SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "307-637-3131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WY",
            "license": "C12686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "306400",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119925100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frontier Chiropractic
• Frontier Critical Care Physicians, LLC
• Frontier Emergency Physicians, LLP
• Frontier Medical Providers
• Frontier Oral Surgery and Implant Center
• Frontier Sciences LLC
• Frontier Vision Clinic, PC
• Frontier Wyoming LLC
• Frontier Wyoming, LLC
• Christina Ruth Shimy Frost, PCSW

• Prosthetic/Orthotic Supplier in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Prosthetic/Orthotic Supplier in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.