NPIMap

Organization Active NPI

Sheridan Orthopaedic Associates, P C

  • Orthopaedic Surgery Physician
  • Sheridan, WY
National Provider Identifier
1740200294
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SHERIDAN ORTHOPAEDIC ASSOCIATES, P C
Practice address
1050 Mydland Rd
Sheridan, WY 82801-2186
Phone
(307) 673-1813
Fax
(307) 674-4619
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Mr. Greg A Lagorio
Title
Director of Operations
Phone
(307) 673-1813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1050 Mydland Rd
Sheridan, WY 82801-2186

Mailing address

1050 Mydland Rd
Sheridan, WY 82801-2186
Phone (307) 673-1813

Other identifiers 1

IdentifierTypeStateIssuer
106243300MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040607000874 WY Part B Supplier - Clinic/Group Practice 0941282453 Receives reassigned benefits from 12 practitioners
Practice locations: Sheridan, WY
O20100930089784 WY DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Physician - Ophthalmology 0941282453 Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1740200294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MYDLAND RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012186",
            "telephone_number": "307-673-1813",
            "fax_number": "307-674-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MYDLAND RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012186",
            "telephone_number": "307-673-1813",
            "fax_number": "307-674-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN ORTHOPAEDIC ASSOCIATES, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "LAGORIO",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "307-673-1813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106243300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.