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WYOMING SURGICAL CENTER MRI NPI 1164599379


NPI Information

NPI: 1164599379
Provider Name: WYOMING SURGICAL CENTER MRI
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4140 CENTENNIAL HILLS BLVD
#C
CASPER, WY
ZIP 82609
Phone: (307) 472-8781
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WYOMING SURGICAL CENTER MRI is a diagnostic radiology radiology in Casper, WY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WYOMING SURGICAL CENTER MRI NPI is 1164599379. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4140 CENTENNIAL HILLS BLVD
#C
CASPER, WY
ZIP 82609-265
Phone: (307) 472-8781
Fax: (307) 472-8887

The provider's authorized official is Charles Robertson .
The authorized official title is Administrator and has the following contact phone number (307) 472-8781.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 7/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology35-2-904WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========001OTHERWYOMINGTRIWEST
2WY00549OTHERWYOMINGBLUE CROSS BLUE SHIELD OF WYOMING
3W9336MEDICARE PINWYOMING
4P00092902OTHERWYOMINGRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.