NPIMap

Organization Active NPI

William C Neal, M.D. PLLC

  • Orthopaedic Surgery Physician
  • Jackson, WY
National Provider Identifier
1952487001
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
6102A Issued in WY
Legal business name
WILLIAM C NEAL, M.D. PLLC
Doing business as
OTHOPAEDIC ASSOCIATES OF JACKSON HOLE
Practice address
945 West Braodway
Suite 202
Jackson, WY 83001-7369
Phone
(307) 734-5999
Fax
(307) 734-0345
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
William C Neal, M.D.
Title
President
Phone
(307) 734-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 6102A WY Primary

Addresses

Primary practice location

945 West Braodway
Suite 202
Jackson, WY 83001-7369

Mailing address

PO Box 7369
Jackson, WY 83002-7369
Phone (307) 734-5999

Other identifiers 3

IdentifierTypeStateIssuer
805302900MedicaidID
05661001OtherWYBLUE CROSS BLUE SHIELD
120327400MedicaidWY

Other names 1

  • OTHOPAEDIC ASSOCIATES OF JACKSON HOLE Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1952487001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7369",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830027369",
            "telephone_number": "307-734-5999",
            "fax_number": "307-734-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WEST BRAODWAY",
            "address_2": "SUITE 202",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830017369",
            "telephone_number": "307-734-5999",
            "fax_number": "307-734-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C NEAL, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-734-5999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WY",
            "license": "6102A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805302900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05661001",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120327400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OTHOPAEDIC ASSOCIATES OF JACKSON HOLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, WY

Sources for this page

  • 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.