Sandra K Surbrugg, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

3492A Issued in WY

Practice address

123 Western Hills Blvd
Cheyenne, WY 82009-3446

Phone

(307) 635-0226

Fax

(307) 635-1924

NPI assigned

Mar 7, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vein Treatment Center of Cheyenne

  • Vascular Surgery Physician
  • Cheyenne, WY
  • NPI 1295796050
  Medicare reassignment NPD Authorized official
• Cheyenne Skin Clinic

  • Dermatology Physician
  • Cheyenne, WY
  • NPI 1831150689
  NPD Authorized official
• Center for Dermatologic Surgery

  • Ambulatory Surgical Clinic/Center
  • Cheyenne, WY
  • NPI 1740241595
  NPD (past) Authorized official
• Cheyenne Skin Clinic LLP

  • Specialist
  • Cheyenne, WY
  • NPI 1740427509
  Authorized official Same address or phone
• Lawrence W Oholleran PC

  • Surgery Physician
  • Cheyenne, WY
  • NPI 1649239138
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699742957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WESTERN HILLS BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093446",
            "telephone_number": "307-635-0226",
            "fax_number": "307-635-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WESTERN HILLS BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093446",
            "telephone_number": "307-635-0226",
            "fax_number": "307-635-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURBRUGG",
        "first_name": "SANDRA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WY",
            "license": "3492A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83025288113",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Spine and Neurosurgery Associates
• Sunlight Dental
• Sunrise Chiropractic Inc
• Sunrise Therapeutic Services LLC
• Supportive Care of Wyoming LLC
• Amy R Surdam, NP
• Daniel E Surdam, MD
• Linnaea Despain Sutphin
• Leona L. Sutton, R.N.
• Kimberley Svoboda, LPN

• Dermatology Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Dermatology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.