Healthcare Provider Details

I. General information

NPI: 1952820789
Provider Name (Legal Business Name): CASPER ORTHOPAEDIC ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4140 CENTENNIAL HILLS BLVD STE B
CASPER WY
82609-3265
US

IV. Provider business mailing address

4140 CENTENNIAL HILLS BLVD STE B
CASPER WY
82609-3265
US

V. Phone/Fax

Practice location:
  • Phone: 307-265-7205
  • Fax: 307-235-6262
Mailing address:
  • Phone: 307-265-7205
  • Fax: 307-235-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC LINFORD
Title or Position: PRESIDENT
Credential: MD
Phone: 307-265-7205