Advanced Surgical Care of Wyoming, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCED SURGICAL CARE OF WYOMING, LLC

Practice address

51 Town Center Dr Ste 140
Gillette, WY 82718-5521

Phone

(307) 660-3934

NPI assigned

Sep 1, 2020

Last updated

Oct 6, 2020By 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

Dr. Mark G Murphy, MDNPI 1134187008

Title

Ceo,Owner

Phone

(307) 682-6222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Thunder Basin Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Douglas, WY
  • NPI 1104883461

  O20041001000999

  Same enrollment

Listed as

Advanced Surgical Care of Wyoming LLCCCN 53C0001024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Gregory Murphy, MD

  • Orthopaedic Surgery Physician
  • Douglas, WY
  • NPI 1134187008
  NPD Authorized official
• Joseph Forrest Allegretto, MD

  • Orthopaedic Surgery Physician
  • Gillette, WY
  • NPI 1508823964
  NPD
• Sandra Susanne Gebhart, MD

  • Orthopaedic Hand Surgery Physician
  • Gillette, WY
  • NPI 1164865796
  NPD
• Todd A Hammond, MD

  • Interventional Pain Medicine Physician
  • Casper, WY
  • NPI 1659359610
  NPD
• Shaelynn Hunsicker

  • Physician Assistant
  • Casper, WY
  • NPI 1104475110
  NPD
• Tristyn Richendifer, PA-C

  • Surgical Physician Assistant
  • Douglas, WY
  • NPI 1265816466
  NPD
• Moriahn Wilson, PA-C

  • Surgical Physician Assistant
  • Gillette, WY
  • NPI 1275175622
  NPD
• John Alexander Sielatycki, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Steamboat Springs, CO
  • NPI 1629335658
  NPD

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1639783335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 TOWN CENTER DR STE 140",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185521",
            "telephone_number": "307-660-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 TOWN CENTER DR STE 140",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185521",
            "telephone_number": "307-660-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL CARE OF WYOMING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO,OWNER",
        "authorized_official_telephone_number": "307-682-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felice Ann Acosta
• Paige Adkison
• Adonai Mental Health Services
• Advanced Orthogonal Chiropractic,LLC
• Advanced Orthopedic & Chiropractic L.L.C. (A.O. Chiropractic)
• Erin Aihara
• Polly Jean Akins, PH.D.
• Janine Nicole Albert, MOTR/L
• Shenae Kayleen Alberts, PT, DPT
• Albertsons LLC (Osco Pharmacy #0067)

• Ambulatory Surgical Clinic/Center in Gillette, WY
• Providers in Gillette, WY by specialty
• Ambulatory Surgical Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.