Active NPI
Specialists in Obstetrics and Gynecology, P.C.
- Obstetrics Physician
- Gillette, WY
National Provider Identifier
1295927655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 6859A
- Legal business name
- SPECIALISTS IN OBSTETRICS AND GYNECOLOGY, P.C.
- Practice address
- 1414 W 4TH St
OBGYN Specialists
Gillette, WY 82716-3855 - Phone
- (307) 686-3855
- Fax
- (307) 686-8190
- NPI assigned
- Aug 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Toby R Marshall, M.D.
- Title
- Owner
- Phone
- (307) 686-3855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 6859A | WY | Primary |
Addresses
Primary practice location
1414 W 4TH St
OBGYN Specialists
Gillette, WY 82716-3855
Mailing address
1414 W 4TH St
OBGYN Specialists
Gillette, WY 82716-3855
Phone (307) 686-3855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315261 | Other | WY | WY BCBS |
Other names 1
- OBGYN Specialists
National Provider Directory
National Provider DirectoryLocations
1414 W 4th St
Gillette, WY 82716
Phone (307) 682-6263
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Gillette, WY
- NPI 1689787814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1295927655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W 4TH ST",
"address_2": "OBGYN SPECIALISTS",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163855",
"telephone_number": "307-686-3855",
"fax_number": "307-686-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W 4TH ST",
"address_2": "OBGYN SPECIALISTS",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163855",
"telephone_number": "307-686-3855",
"fax_number": "307-686-8190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALISTS IN OBSTETRICS AND GYNECOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "TOBY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-686-3855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WY",
"license": "6859A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WY BCBS",
"identifier": "315261",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OBGYN Specialists",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.