EVANSTON SURGICAL CENTER LLC
NPI 1003081522
Surgery in Evanston, WY

Active since April 25, 2008
196 ARROWHEAD DR, SUITE 8, EVANSTON, WY 82930(307) 789-1390(307) 789-1391 Get Directions Write a Review

NPPES record last updated: October 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evanston Surgical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANSTON SURGICAL CENTER LLC (NPI 1003081522) is a healthcare organization registered as a surgery in Evanston, Wyoming and active in the NPI registry since April 2008. The organization lists Michael J O'connor, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1003081522
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameEVANSTON SURGICAL CENTER LLC
Location Address196 ARROWHEAD DR, SUITE 8Evanston, WY 82930-8752
Mailing Address196 Arrowhead Dr, Suite 8Evanston, WY 82930-8752 · (435) 613-9500 · Fax (435) 613-9414
Fax(307) 789-1391
Organization SubpartNo
Authorized OfficialMichael J O'connorOwner/md · (307) 789-1390
Enumeration DateApril 25, 2008
Last NPPES UpdateOctober 20, 2008
NPI 1003081522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WY · 5079A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
196 ARROWHEAD DR, Evanston, WY 82930

Other Identifiers 3

Medicare UPINF33771WY
Medicaid1952367450WY
Medicare PINW21921WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
196 ARROWHEAD DR, SUITE #4
EVANSTON, WY 82930
Otolaryngology
196 ARROWHEAD DR, SUITE 5
EVANSTON, WY 82930
Nurse Practitioner (Family)
196 ARROWHEAD DR, SUITE #4
EVANSTON, WY 82930
Surgery
196 ARROWHEAD DR, SUITE #8
EVANSTON, WY 82930
Family Medicine
196 ARROWHEAD DR, SUITE 1
EVANSTON, WY 82930
Clinic/Center (Hearing and Speech)
196 ARROWHEAD DR
EVANSTON, WY 82930
Family Medicine
196 ARROWHEAD DR, STE 1
EVANSTON, WY 82930
Surgery
196 ARROWHEAD DR, STE 9
EVANSTON, WY 82930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evanston Surgical Center LLC's NPI number?

The NPI number for Evanston Surgical Center LLC is 1003081522. It was assigned to this organization in the NPPES registry on April 25, 2008.

Where is Evanston Surgical Center LLC located?

Evanston Surgical Center LLC is located at 196 Arrowhead Dr Suite 8, Evanston, WY 82930. The listed phone number is (307) 789-1390.

What is Evanston Surgical Center LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Evanston Surgical Center LLC was last updated on October 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.