Active NPI
Gem City Bone & Joint
- Orthopaedic Surgery Physician
- Rock Springs, WY
National Provider Identifier
1689839003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- GEM CITY BONE & JOINT
- Practice address
- 2250 College Dr
Rock Springs, WY 82901 - Phone
- (307) 745-8851
- NPI assigned
- Jul 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trent Kaufman
- Title
- Administrator
- Phone
- (307) 745-8851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
2250 College Dr
Rock Springs, WY 82901
Mailing address
1909 Vista Dr
Laramie, WY 82070-5530
Phone (307) 745-8851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315770 | Other | WY | BLUE CROSS BLUE SHIELD OF WYOMING |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1689839003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 VISTA DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705530",
"telephone_number": "307-745-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "82901",
"telephone_number": "307-745-8851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEM CITY BONE & JOINT",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "TRENT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "307-745-8851"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF WYOMING",
"identifier": "315770",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.