Black Hills Orthopedic & Spine Center of Wyoming PC
NPI 1538644679ActiveOrganization· Orthopaedic Surgery· Gillette, WY
Orthopaedic Surgery in Gillette, Wyoming, registered in NPPES in September 2018. The authorized official on file is Diane Marris, Admin Asst. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538644679 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2018 |
| Last updated in NPPES | Apr 15, 2026 |
| Certified by provider | Apr 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WY) |
|---|
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