Individual provider Active NPI

Marion N. Smith, M.D.

  • Family Medicine Physician
  • Torrington, WY
National Provider Identifier
1619083813
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3794A Issued in WY
Practice address
625 Albany Ave
Torrington, WY 82240-1530
Phone
(307) 532-2107
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3794A WY Primary

Addresses

Primary practice location

625 Albany Ave
Torrington, WY 82240-1530

Mailing address

625 Albany Ave
Torrington, WY 82240-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000523 WY Practitioner - Family Practice 1355466418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community HospitalGroup PAC ID 6608784194, 23 clinicians

Practice addresses (Care Compare)

625 Albany Ave
Torrington, WY 82240-1530
Phone (307) 532-2107

Hospital & facility affiliations

  • Community Hospital Hospital, Torrington, WY, CCN 531307
  • Goshen Healthcare Community Nursing home, Torrington, WY, CCN 535057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3794AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital CurrentSince Jun 16, 2010 Accepting new patients
Community Hospital Family Medicine CurrentSince Jun 16, 2010 Accepting new patients
Banner Health Physicians West LLC CurrentSince Jun 1, 2012 Accepting new patients
Banner Health Physicians West LLC CurrentSince Jun 1, 2012 Accepting new patients
Vetras Torrington SNF, LLC Past Accepting new patients

Locations

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

1356 Shiek St
Wheatland, WY 82201
Phone (307) 322-3861

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Goshen Healthcare CommunityTorrington, WY, CCN 535057 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 2024
Feb 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1619083813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ALBANY AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ALBANY AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401530",
            "telephone_number": "307-532-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARION",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "3794A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, WY

Sources for this page

Verify at the official NPI Registry.