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POWDER RIVER ORTHOPEDICS & SPINE PC NPI 1356335533


NPI Information

NPI: 1356335533
Provider Name: POWDER RIVER ORTHOPEDICS & SPINE PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
508 STOCKTRAIL AVE
STE A
GILLETTE, WY
ZIP 82716
Phone: (307) 686-1413
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POWDER RIVER ORTHOPEDICS & SPINE PC is an orthopaedic surgery in Gillette, 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. POWDER RIVER ORTHOPEDICS & SPINE PC NPI is 1356335533. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

508 STOCKTRAIL AVE
STE A
GILLETTE, WY
ZIP 82716-582
Phone: (307) 686-1413
Fax: (307) 682-1113

The provider's authorized official is Michelle M Mordecai .
The authorized official title is Office Manager and has the following contact phone number (307) 686-1413.

The enumeration date for this NPI number is 9/2/2005 and was last updated on 11/1/2007.


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
1207X00000XOrthopaedic 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
1W4107107MEDICARE PINWYOMING
200845001OTHERWYOMINGBCBS
30609640001MEDICARE NSCWYOMING

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

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