WYOMING SURGICAL CENTER MRI NPI 1164599379

NPI Information

  • NPI: 1164599379
  • Provider Name: WYOMING SURGICAL CENTER MRI
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 4140 CENTENNIAL HILLS BLVD
    #C
    CASPER, WY
    ZIP 82609
  • Phone: (307) 472-8781

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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