Active NPI
Scott C Wyman MD PC
- Obstetrics & Gynecology Physician
- Missoula, MT
National Provider Identifier
1366824930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 18612
- Legal business name
- SCOTT C WYMAN MD PC
- Practice address
- 2835 Fort Missoula Rd Ste 305
Missoula, MT 59804-7424 - Phone
- (406) 926-1088
- Fax
- (406) 926-1087
- NPI assigned
- Jun 19, 2015
- 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
- Mrs. Shannon Lee Savage
- Title
- Manager
- Phone
- (406) 544-0431
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 18612 | MT | Primary |
Addresses
Primary practice location
2835 Fort Missoula Rd Ste 305
Missoula, MT 59804-7424
Mailing address
2835 Fort Missoula Rd Ste 305
Missoula, MT 59804-7424
Phone (406) 926-1088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407172612 | Other | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
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 |
|---|---|---|---|
| 27D2098114 | Scott C Wyman MD PC | Provider-performed microscopy | Jun 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
2835 Fort Missoula Rd
Ste 20
Missoula, MT 59804
Phone (406) 327-4290
2835 Fort Missoula Rd
Ste 30
Missoula, MT 59804
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Missoula, MT
- NPI 1477801041
-
- Family Nurse Practitioner
- Missoula, MT
- NPI 1730656299
-
- Family Medicine Physician
- Missoula, MT
- NPI 1326484130
-
- Obstetrics & Gynecology Physician
- Missoula, MT
- NPI 1407172612
-
- Physician Assistant
- Missoula, MT
- NPI 1982900411
-
- Family Medicine Physician
- Missoula, MT
- NPI 1033285861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1366824930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 FORT MISSOULA RD STE 305",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047424",
"telephone_number": "406-926-1088",
"fax_number": "406-926-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 FORT MISSOULA RD STE 305",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047424",
"telephone_number": "406-926-1088",
"fax_number": "406-926-1087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT C WYMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-19",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "SAVAGE",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "406-544-0431",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "18612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1407172612",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.