Healthcare Provider Details

I. General information

NPI: 1659359610
Provider Name (Legal Business Name): TODD A HAMMOND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 E 2ND ST
CASPER WY
82609-4264
US

IV. Provider business mailing address

6350 E 2ND ST
CASPER WY
82609-4264
US

V. Phone/Fax

Practice location:
  • Phone: 307-232-3235
  • Fax: 307-215-0898
Mailing address:
  • Phone: 307-232-3235
  • Fax: 307-215-0898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number7101A
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number7101A
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: