Marvin Wayne Couch II, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5629A Issued in WY

Practice address

542 16TH St
Rawlins, WY 82301-5241

Phone

(307) 324-2750

Fax

(307) 324-2759

NPI assigned

Jul 25, 2006

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, CO3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Hospital

  • Critical Access Hospital
  • Torrington, WY
  • NPI 1669410643

  Family Medicine

  Medicare reassignment NPD
• Memorial Hospital of Converse County

  • General Practice Physician
  • Douglas, WY
  • NPI 1356496491
  Medicare reassignment NPD
• Platte County Hospital

  • Critical Access Hospital
  • Guernsey, WY
  • NPI 1265469506
  Medicare reassignment NPD
• Riverton Physician Practices, LLC

  • Emergency Medicine Physician
  • Riverton, WY
  • NPI 1205875614
  Medicare reassignment NPD
• Washakie Medical Center

  • Critical Access Hospital
  • Worland, WY
  • NPI 1255368593
  Medicare reassignment NPD
• Banner Hospital Based Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Greeley, CO
  • NPI 1154679637
  Medicare reassignment NPD
• East Morgan County Hospital

  • Critical Access Hospital
  • Brush, CO
  • NPI 1699708743
  Medicare reassignment NPD
• Mountain Trail Medical

  • Family Medicine Physician
  • Rawlins, WY
  • NPI 1760956924
  Authorized official Same address or phone
• Community Hospital

  • Rural Health Clinic/Center
  • Torrington, WY
  • NPI 1174059786
  NPD
• Platte County Hospital

  • Multi-Specialty Clinic/Center
  • Guernsey, WY
  • NPI 1174052989
  NPD
• Platte County Hospital

  • Rural Health Clinic/Center
  • Wheatland, WY
  • NPI 1235670092
  NPD
• Riverton Physician Practices LLC

  dba Fremont Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Riverton, WY
  • NPI 1174858302
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1023031861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E GRAND AVE # 273",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703839",
            "telephone_number": "307-314-3330",
            "fax_number": "307-324-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 16TH ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015241",
            "telephone_number": "307-324-2750",
            "fax_number": "307-324-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "MARVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "5629A",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "5629A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles C Young MD LLC (Charles Young MD)
• Cheyenne Vamc
• Madu Remigius Chikere, MA, MSW, PCSW
• Stephanie Chiu, M.D.
• Marci Lynn Conley, LCSW, C.A.P.
• Course Corrections LLC
• Cowboy Urgent Care, Inc (Big Horn Urgent Care)
• John Francis Coyle, D.O.
• Deborah Jean Cronk
• Sarah Cruz

• Family Medicine Physician in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.