Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St John's Surgical Group, PC

Organization Surgery Physician · NPI 1356406557

St John's Surgical Group, PC is a Surgery Physician in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2006.

Licensed in
WY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 E Broadway Ave Ste 229
Jackson, WY 83001-8640
Phone: (307) 733-0422
Fax: (307) 733-2580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5051A (WY)

Record details

NPI number1356406557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Rosenberg — President · (307) 733-0422
NPI enumeratedDecember 27, 2006
Last updated in NPPESSeptember 25, 2014
Mailing addressPo Box 4197, Jackson, WY 83001-4197

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