Provider Demographics
NPI:1154452100
Name:CENTRAL WYOMING NEUROANESTHESIA
Entity Type:Organization
Organization Name:CENTRAL WYOMING NEUROANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARDEN
Authorized Official - Last Name:KNOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-259-8186
Mailing Address - Street 1:4619 SMOKE RISE RD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-9278
Mailing Address - Country:US
Mailing Address - Phone:307-259-8186
Mailing Address - Fax:
Practice Address - Street 1:214 E 23RD ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3748
Practice Address - Country:US
Practice Address - Phone:307-634-3341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty