WYOMING SURGICAL CENTER MRI
NPI 1164599379
Radiology - Diagnostic Radiology in Casper, WY

NPI Status: Active since November 30, 2006

Contact Information

4140 CENTENNIAL HILLS BLVD
#C
CASPER, WY
ZIP 82609
Phone: (307) 472-8781
Fax: (307) 472-8887

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 53D0979484
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-23-2026

About WYOMING SURGICAL CENTER MRI

This page provides the complete NPI Profile along with additional information for Wyoming Surgical Center Mri, a provider established in Casper, Wyoming operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1164599379 assigned on November 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 35-2-904 (WY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Charles Robertson (Administrator)

NPI
1164599379
Provider Name
WYOMING SURGICAL CENTER MRI
Entity Type
Organization
Location Address
4140 CENTENNIAL HILLS BLVD #C CASPER, WY 82609
Location Phone
(307) 472-8781
Location Fax
(307) 472-8887
Mailing Address
4140 CENTENNIAL HILLS BLVD #C CASPER, WY 82609
Mailing Phone
(307) 472-8781
Mailing Fax
(307) 472-8887
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2006
Last Update Date
07-07-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
35-2-904
License State
WY
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHARLES ROBERTSON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(307) 472-8781

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========001OTHER (01)WYTRIWEST
WY00549OTHER (01)WYBLUE CROSS BLUE SHIELD OF WYOMING
W9336MEDICARE PIN (08)WY 
P00092902OTHER (01)WYRAILROAD MEDICARE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D0979484
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 24, 2024
Certificate Expiration Date
October 23, 2026
Laboratory Director
DR. ROBERT A. ALLAIRE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wyoming Surgical Center Mri to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WYOMING SURGICAL CENTER MRI

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164599379, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 0 + 9 + 1 + 8 + 3 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164599379.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, SUITE A
CASPER, WY 82609
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, SUITE A
CASPER, WY 82609
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Physician Assistant
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Clinic/Center (Ambulatory Surgical)
4140 CENTENNIAL HILLS BLVD, #C
CASPER, WY 82609
Occupational Therapist
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Physical Therapist
4140 CENTENNIAL HILLS BLVD, A
CASPER, WY 82609
Orthopaedic Surgery (Hand Surgery)
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Specialist/Technologist (Athletic Trainer)
4140 CENTENNIAL HILLS BLVD
CASPER, WY 82609
Specialist/Technologist (Athletic Trainer)
4140 CENTENNIAL HILLS BLVD
CASPER, WY 82609
Physician Assistant
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Physician Assistant
4140 CENTENNIAL HILLS BLVD, SUITE A
CASPER, WY 82609
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609
Specialist/Technologist, Other (Orthopedic Assistant)
4140 CENTENNIAL HILLS BLVD
CASPER, WY 82609
Specialist/Technologist (Athletic Trainer)
4140 CENTENNIAL HILLS BLVD
CASPER, WY 82609
Physical Therapist
4140 CENTENNIAL HILLS BLVD
CASPER, WY 82609
Orthopaedic Surgery
4140 CENTENNIAL HILLS BLVD, STE A
CASPER, WY 82609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164599379, enumerated as an "organization" on November 30, 2006.

The provider is located at 4140 CENTENNIAL HILLS BLVD #C CASPER, WY 82609 and the phone number is (307) 472-8781.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.