OrganizationActive
St John'S Surgical Group, PC
NPI 1356406557 · Surgery Physician · Jackson, WY
St John'S Surgical Group, PC is a Surgery Physician organization in Jackson, WY (NPI 1356406557).
Provider details
- NPI number
- 1356406557
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Rosenberg, President(307) 733-0422
- License
- 5051A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
555 E Broadway Ave
Suite 229
Jackson, WY 83001-8640
Phone: (307) 733-0422
Fax: (307) 733-2580
Street-level locationGet directions
Mailing address
Po Box 4197
Jackson, WY 83001-4197
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2014-09-25
Frequently asked questions
- What is St John'S Surgical Group, PC's NPI number?
- St John'S Surgical Group, PC's National Provider Identifier (NPI) is 1356406557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St John'S Surgical Group, PC?
- St John'S Surgical Group, PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is St John'S Surgical Group, PC located?
- St John'S Surgical Group, PC's practice location on file with NPPES is 555 E Broadway Ave, Jackson, WY 83001-8640.
- What is St John'S Surgical Group, PC's phone number?
- The practice phone number listed in the NPPES registry for St John'S Surgical Group, PC is (307) 733-0422.
- Who is the authorized official for St John'S Surgical Group, PC?
- The authorized official listed on St John'S Surgical Group, PC's NPPES record is Michael Rosenberg, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St John'S Surgical Group, PC's NPI active?
- Yes — St John'S Surgical Group, PC's NPI (1356406557) is active in the NPPES registry as of the last update on 2014-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.