Sundance Anesthesia L.L.C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

7797A Issued in WY

Legal business name

SUNDANCE ANESTHESIA L.L.C.

Practice address

6550 E 2ND St
Casper, WY 82609-4321

Phone

(307) 473-8499

Fax

(208) 525-2662

NPI assigned

Jun 23, 2008

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher S Wise, M.D.NPI 1154513976

Title

Owner

Phone

(208) 525-2090

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Christopher Scott Wise, M.D.

  • Anesthesiology Physician
  • East Meadow, NY
  • NPI 1154513976
  NPD (past) Authorized official
• Michael Charles McManus, MD

  • Urology Physician
  • Green Bay, WI
  • NPI 1609085612
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1841451762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2066",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032066",
            "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": "6550 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094321",
            "telephone_number": "307-473-8499",
            "fax_number": "208-525-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE ANESTHESIA L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-525-2090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "7797A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Medical Center, LLC
• Summit Medical Center, LLC (Summit Pain Clinic)
• Summit Memorial Medical Group LLC
• Summit Pathology
• Kelly Jeanne Sumner, DNP, FNP-C
• Chad Eric Sundquist, PA-C
• Sunshine Counseling LLC
• Malavika Suresh, MD, MB BCH BAO
• Surfin Smiles LLC
• Chae Auna Sutherland

• Anesthesiology Physician in Casper, WY
• Providers in Casper, WY by specialty
• Anesthesiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.