Unknown Individual – Orthopaedic Surgery Physician, NPI 1427042936

Unknown Individual is a healthcare provider. based in Gillette, Wyoming. specializing in Orthopaedic Surgery Physician. They hold a License No. 6462A (WY). The NPI Number for Unknown Individual is 1427042936

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427042936
Phone
(307) 686-1413
Address
508 STOCKTRAIL AVE
Deactivation Date
16 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
3076881000
Graduation Year
1998 (28 years ago)
PAC ID
6800799669
Group Practice PAC ID
2860392529
Professional Enrollment ID
I20040129000790
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Stocktrail Building, 508, Stocktrail Avenue, Gillette, Campbell County, Wyoming, 82716, United States

    STE A

    GILLETTE, WY 827163582

    Phone: (307) 686-1413

    Fax: (307) 682-1113

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82716)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYWY62311Injections of substances into lower or sacral spine2821
ORTHOPEDIC SURGERYWY63048Partial removal of spine bone with release of spinal cord and/or nerves1811

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860392529View full group profile
NameSpecialtyState
Radiation OncologyIL
-WY
Internal MedicineIL
Emergency MedicineND
-WY
-WY
Clinical Social WorkerWY
Orthopedic SurgeryWY
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)WY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1427042936 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Wyoming?
You will see Gillette, Wyoming on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

POWDER RIVER ORTHOPEDICS & SPINE PC

Orthopaedic Surgery Physician
508, Stocktrail Avenue, Gillette, Campbell County, Wyoming, 82718, United States
NPI: 1356335533

DR. JOHN P DUNN (MD)

Orthopaedic Surgery Physician
508, Stocktrail Avenue, Gillette, Campbell County, Wyoming, 82718, United States
NPI: 1639163702

DR. HANS C KIOSCHOS (MD)

Orthopaedic Surgery Physician
Stocktrail Building, 508, Stocktrail Avenue, Gillette, Campbell County, Wyoming, 82716, United States
NPI: 1740274265

DR. GERALD L BAKER (MD)

Orthopaedic Surgery Physician
Stocktrail Building, 508, Stocktrail Avenue, Gillette, Campbell County, Wyoming, 82716, United States
NPI: 1316932783

DR. MONICA L MORMAN (MD)

Orthopaedic Hand Surgery Physician
PO BOX 6850
NPI: 1962497958

DR. JOSEPH FORREST ALLEGRETTO (MD)

Orthopaedic Surgery Physician
PO BOX 688
NPI: 1508823964

STANFORD T ISRAELSEN (MD)

Orthopaedic Surgery Physician
508, Stocktrail Avenue, Gillette, Campbell County, Wyoming, 82718, United States
NPI: 1093961179

SCOTT M. SORENSON (MD)

Orthopaedic Surgery Physician
508 STOCKTRAIL AVENUE
NPI: 1194950428