Active NPI
Womens Healthcare PC
- Obstetrics & Gynecology Physician
- Gillette, WY
National Provider Identifier
1306854302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMENS HEALTHCARE PC
- Practice address
- 1402 West 4TH Street
Gillette, WY 82716-3328 - Phone
- (307) 682-2233
- Fax
- (307) 682-2233
- NPI assigned
- Aug 4, 2006
- Last updated
- Aug 22, 2020
- 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
- Toby R Marshall, MD
- Title
- Officer
- Phone
- (307) 682-2233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1402 West 4TH Street
Gillette, WY 82716-3328
Mailing address
1402 West 4TH Street
Gillette, WY 82716-3328
Phone (307) 682-2233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01241001 | Other | WY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D0903719 | Womens Healthcare PC | Provider-performed microscopy | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
1402 W 4th St
Gillette, WY 82716
Phone (307) 682-2233
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Women's Health Nurse Practitioner
- Gillette, WY
- NPI 1104366806
-
- Obstetrics & Gynecology Physician
- Gillette, WY
- NPI 1073626339
-
- Family Nurse Practitioner
- Gillette, WY
- NPI 1013309590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306854302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 WEST 4TH STREET",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163328",
"telephone_number": "307-682-2233",
"fax_number": "307-682-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 WEST 4TH STREET",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163328",
"telephone_number": "307-682-2233",
"fax_number": "307-682-2233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS HEALTHCARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "TOBY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "307-682-2233",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01241001",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.