Organization
ABSAROKA ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY A WINZENRIED M.D. (PRESIDENT)
(307) 754-7257
Entity
Organization
Contact information
Practice address
424 YELLOWSTONE AVE, SUITE 140, CODY, WY 82414-9318
(307) 527-7100
(307) 527-7145
Mailing address
424 YELLOWSTONE AVE, SUITE 140, CODY, WY 82414-9318
(307) 527-7100
(307) 527-7145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
4931310001
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01201001
BLUE CROSS BLUE SHEILD
WY
05
—
115812100
—
WY
01
—
4931310001
DME MEDICARE
WY
01
—
DB2917
RAILROAD MEDICARE
WY
Enumeration date
10/20/2005
Last updated
07/19/2010
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