VEIN TREATMENT CENTER OF CHEYENNE – NPI #1295796050
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

VEIN TREATMENT CENTER OF CHEYENNE is a surgeon located in CHEYENNE, WY. NPPES has assigned the NPI number 1295796050 to VEIN TREATMENT CENTER OF CHEYENNE on March 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 3 years ago on Jun 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VEIN TREATMENT CENTER OF CHEYENNE below.

NPI Profile for
VEIN TREATMENT CENTER OF CHEYENNE

NPI Number
1295796050
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VEIN TREATMENT CENTER OF CHEYENNE
Primary location
4003 RAWLINS ST. SUITE B
CHEYENNE, WY 82001
Phone: (307) 637-5600 Fax: (307) 637-0249
Mailing address
123 WESTERN HILLS BLVD.
CHEYENNE, WY 82009-3446
Phone: (307) 638-5149 Fax: (307) 635-1924
Organization Subpart
No
Authorized Official
SANDRA SURBRUGG
MANAGING PARTNER
Phone: (307) 635-0226
Updated
Certification Date
Jun 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for VEIN TREATMENT CENTER OF CHEYENNE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWY121833600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.