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GEM CITY BONE & JOINT PC NPI 1366412397


NPI Information

NPI: 1366412397
Provider Name: GEM CITY BONE & JOINT PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1909 VISTA DR
LARAMIE, WY
ZIP 82070
Phone: (307) 745-8851
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GEM CITY BONE & JOINT PC is an orthopaedic surgery in Laramie, WY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. GEM CITY BONE & JOINT PC NPI is 1366412397. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1909 VISTA DR
LARAMIE, WY
ZIP 82070-530
Phone: (307) 745-8851
Fax: (307) 742-0961

The provider's authorized official is Jana Suazo .
The authorized official title is Director Of Human Resources and has the following contact phone number (307) 745-1415.

The enumeration date for this NPI number is 1/24/2006 and was last updated on 1/21/2021.


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
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineNo
3208600000XSurgeryNo
4208D00000XGeneral PracticeNo
5225100000XPhysical TherapistNo
6225X00000XOccupational TherapistNo
7261QR0200XClinic/CenterRadiologyNo
8332B00000XDurable Medical Equipment & Medical SuppliesNo
9207X00000XOrthopaedic SurgeryYes

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
1106251402MEDICAIDWYOMING
238121263MEDICAIDCOLORADO
3106251400MEDICAIDWYOMING
400832001OTHERBCBS

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: 11/14/2023

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.