Active NPI
Center for Surgical Excellence Inc
- Ambulatory Surgical Clinic/Center
- Gillette, WY
National Provider Identifier
1700042942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- PENDING
- Legal business name
- CENTER FOR SURGICAL EXCELLENCE INC
- Practice address
- 1402 W. 4TH Street
Gillette, WY 82716-3328 - Phone
- (307) 682-2233
- NPI assigned
- Aug 6, 2008
- Last updated
- Mar 4, 2009
- 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
- Dr. David A. Beck, MD
- Title
- Medical Director
- Phone
- (307) 680-3130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | PENDING | WY | Primary |
Addresses
Primary practice location
1402 W. 4TH Street
Gillette, WY 82716-3328
Mailing address
1402 W 4TH St
Gillette, WY 82716-3328
Phone (307) 682-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Center for Surgical Excellence Inc
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Obstetrics & Gynecology Physician
- Gillette, WY
- NPI 1073626339
-
- Anesthesiology Physician
- Casper, WY
- NPI 1831241983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236124800000",
"number": "1700042942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 W 4TH ST",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163328",
"telephone_number": "307-682-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 W. 4TH STREET",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163328",
"telephone_number": "307-682-2233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR SURGICAL EXCELLENCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2009-03-04",
"status": "A",
"authorized_official_last_name": "BECK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "307-680-3130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "WY",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.