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CENTRAL WYOMING UROLOGICAL ASSOCIATES PC NPI 1720009749


NPI Information

NPI: 1720009749
Provider Name: CENTRAL WYOMING UROLOGICAL ASSOCIATES, PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 53D0714209

Address:
1416 E A ST
STE 101
CASPER, WY
ZIP 82601
Phone: (307) 577-8600
Get Directions

CENTRAL WYOMING UROLOGICAL ASSOCIATES, PC is an urology in Casper, WY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CENTRAL WYOMING UROLOGICAL ASSOCIATES, PC NPI is 1720009749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1416 E A ST
STE 101
CASPER, WY
ZIP 82601-276
Phone: (307) 577-8600
Fax: (307) 577-8605

The provider's authorized official is John Paul Jones .
The authorized official title is President and has the following contact phone number (307) 577-8600.

The CLIA number assigned to this NPI record is 53D0714209 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 1/4/2017.


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
1208800000XUrologyYes

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
1CS1279MEDICARE ID-TYPE UNSPECIFIEDWYOMINGRAILROAD MEDICARE
2W306614MEDICARE PINWYOMING
3100042000MEDICAIDWYOMING

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

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