Organization Active NPI

Specialists in Obstetrics and Gynecology, P.C.

  • Obstetrics Physician
  • Gillette, WY
National Provider Identifier
1295927655
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
6859A Issued in WY
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

Updated by the provider on Aug 9, 2007

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)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
315261OtherWYWY BCBS

Other names 1

  • OBGYN Specialists Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.