MEDICARE: WYOMING SURGICAL ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208C00000X	Colon & Rectal Surgery Physician
2	2086S0129X	Vascular Surgery Physician
3	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598751075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WYOMING SURGICAL ASSOCIATES PC

Provider Business Mailing Address
First Line	:	419 S WASHINGTON ST
Second Line	:	SUITE 200
City	:	CASPER
State	:	WY
Zip	:	82601-2951
Country	:	US
Telephone Number	:	307-577-4220
Fax Number	:	307-235-0931

Provider Business Practice Location Address
First Line	:	419 S WASHINGTON ST
Second Line	:	SUITE 200
City	:	CASPER
State	:	WY
Zip	:	82601-2951
Country	:	US
Telephone Number	:	307-577-4220
Fax Number	:	307-235-0931

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES ANDERSON
Credential	:	M.D.
Telephone Number	:	307-577-4220

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	07/10/2015

Similar Medicare Providers

1972952307 — HILLARY MORRISON D.O.
Practice Location Address:

419 S WASHINGTON ST STE 200
CASPER, WY
82601-2951

Practice Phone: 307-577-4220
Practice Fax: 307-235-0931

1780686188 — DR. ERIC SAWYERS MD
Practice Location Address:

419 S WASHINGTON ST STE 102A
CASPER, WY
82601-2951

Practice Phone: 307-237-5047
Practice Fax: 307-235-4017

1265425938 — MRS. VERA LYNN NELSON MD
Practice Location Address:

419 S WASHINGTON ST , SUITE 200
CASPER, WY
82601-2951

Practice Phone: 307-265-8300
Practice Fax: 307-265-8313

1336135763 — TODD HARRISON BECKSTEAD M.D.
Practice Location Address:

419 S WASHINGTON ST , SUITE 102
CASPER, WY
82601-2951

Practice Phone: 307-577-4220
Practice Fax: 307-235-0931

1043206485 — LANE LESTER SMOTHERS M.D.
Practice Location Address:

419 S WASHINGTON ST , SUITE 102
CASPER, WY
82601-2951

Practice Phone: 307-577-4220
Practice Fax: 307-235-0931

1205822442 — JAMES ALLEN ANDERSON M.D.
Practice Location Address:

419 S WASHINGTON ST , SUITE 102
CASPER, WY
82601-2951

Practice Phone: 307-577-4220
Practice Fax: 307-235-0931

Directions to “WYOMING SURGICAL ASSOCIATES PC ” Practice Location

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