NPIMap

Organization Active NPI

Wind River Anesthesia PC

  • Anesthesiology Physician
  • Casper, WY
National Provider Identifier
1841342821
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
6058A Issued in WY
Legal business name
WIND RIVER ANESTHESIA PC
Practice address
1441 Wilkins Circle
Casper, WY 82601
Phone
(307) 265-1792
NPI assigned
Jan 18, 2007
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Jeffrey Fowler, MDNPI 1831241983
Title
Owner
Phone
(208) 525-2090

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
Anesthesiology Physician 207L00000X 6058A WY Primary

Addresses

Primary practice location

1441 Wilkins Circle
Casper, WY 82601

Mailing address

PO Box 1363
Idaho Falls, ID 83403-1363
Phone (208) 525-2090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100630000382 WY Part B Supplier - Clinic/Group Practice 0840321105 Receives reassigned benefits from 8 practitioners
Practice locations: Jackson, WY; Sheridan, WY; Rock Springs, WY; Lander, WY; Gillette, WY; Casper, WY

National Provider Directory

National Provider Directory

Locations

1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792

109 W Lakeway Rd
Ste A
Gillette, WY 82718
Phone (307) 363-4323

Practitioners & affiliated clinicians

Practitioners 12

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1841342821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1363",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834031363",
            "telephone_number": "208-525-2090",
            "fax_number": "208-525-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIRCLE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-265-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-525-2090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "6058A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.