Organization Active NPI

Scott C Wyman MD PC

  • Obstetrics & Gynecology Physician
  • Missoula, MT
National Provider Identifier
1366824930
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18612 Issued in MT
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

Updated by the provider on Oct 24, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1407172612OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150914002903 MT Part B Supplier - Clinic/Group Practice 8820305485 Receives reassigned benefits from 5 practitioners
Practice locations: Missoula, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2098114Scott C Wyman MD PC2835 Fort Missoula Rd, Missoula, MT 59804Provider-performed microscopyJun 29, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.