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St John'S Surgical Group, PC

Surgery Physician in Jackson, WY · enumerated 2006 · authorized official Michael Rosenberg, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356406557

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Registry record

Entity type Organization (Type 2)
Legal business name St John'S Surgical Group, PC
Practice address 555 E Broadway Ave, Suite 229, Jackson, WY, 83001
Fax (307) 733-2580
Enumeration date Dec 27, 2006
Last updated in NPPES Sep 25, 2014

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 5051A (WY) Primary

Authorized official

Name Michael Rosenberg
Title President

Other identifiers

Identifier Type State Issuer
101117100 Medicaid WY -
004294400 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-09-25. Verify at npiregistry.cms.hhs.gov.
Where is St John'S Surgical Group, PC located?
The practice location on file with NPPES is in Jackson, WY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-09-25.