Organization Active NPI

Wyoming Spine & Neurosurgery

  • Neurological Surgery Physician
  • Cheyenne, WY
National Provider Identifier
1730407495
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
6491A Issued in WY
Legal business name
WYOMING SPINE & NEUROSURGERY
Practice address
1950 Bluegrass Cir
Suite 170
Cheyenne, WY 82009-7323
Phone
(307) 778-2860
Fax
(307) 778-2866
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Ms. Darcy Lee Carter, CPC
Title
Billing Manager
Phone
(307) 778-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X 6491A WY Primary

Addresses

Primary practice location

1950 Bluegrass Cir
Suite 170
Cheyenne, WY 82009-7323

Mailing address

1950 Bluegrass Cir
Suite 170
Cheyenne, WY 82009-7323
Phone (307) 778-2860

Other identifiers 2

IdentifierTypeStateIssuer
301698061OtherWYRAILROAD MEDICARE
115790600MedicaidWY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1730407495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BLUEGRASS CIR",
            "address_2": "SUITE 170",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097323",
            "telephone_number": "307-778-2860",
            "fax_number": "307-778-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BLUEGRASS CIR",
            "address_2": "SUITE 170",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097323",
            "telephone_number": "307-778-2860",
            "fax_number": "307-778-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING SPINE & NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "307-778-2860",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "WY",
            "license": "6491A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "301698061",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115790600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.