IndividualActive
Michael Scott, PA-C
NPI 1114007028 · Surgical Physician Assistant · Cheyenne, WY
Provider details
- NPI number
- 1114007028
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA208 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4017 Rawlins St
Cheyenne, WY 82001-1800
Phone: (307) 635-2562
Fax: (307) 637-2867
Approximate (ZIP-level) locationGet directions
Mailing address
4136b Laramie Street
Cheyenne, WY 82001-1969
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.