NPIMap

Organization Active NPI

Northern Wyoming Surgical Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Cody, WY
National Provider Identifier
1740027812
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
NORTHERN WYOMING SURGICAL ANESTHESIA LLC
Practice address
732 Lindsay LN
Cody, WY 82414-4103
Phone
(307) 587-2139
NPI assigned
Jul 15, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Jimmie Biles, MDNPI 1114018728
Title
Chairman
Phone
(307) 587-2139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

732 Lindsay LN
Cody, WY 82414-4103

Mailing address

732 Lindsay LN
Cody, WY 82414-4103
Phone (307) 587-2139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241002003303 WY Part B Supplier - Clinic/Group Practice 9931630837 Receives reassigned benefits from 3 practitioners
Practice locations: Cody, WY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1740027812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 LINDSAY LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144103",
            "telephone_number": "307-587-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 LINDSAY LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144103",
            "telephone_number": "307-587-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WYOMING SURGICAL ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "BILES",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "307-587-2139",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.