Active NPI
Gregg M. Tobin, MD, PC
- Surgery Physician
- Winner, SD
National Provider Identifier
1730227356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0195
- Legal business name
- GREGG M. TOBIN, MD, PC
- Practice address
- 825 E 8TH St Ste 202
Winner, SD 57580-2633 - Phone
- (605) 842-1612
- Fax
- (605) 842-3837
- NPI assigned
- Feb 3, 2007
- Last updated
- Feb 24, 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
- Gregg Moran Tobin, M.D.
- Title
- President
- Phone
- (605) 842-1612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0195 | SD | Primary |
Addresses
Primary practice location
825 E 8TH St Ste 202
Winner, SD 57580-2633
Mailing address
PO Box 651
Winner, SD 57580-0651
Phone (605) 842-1612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4999933 | Other | WELLMARK BC/BS |
National Provider Directory
National Provider DirectoryLocations
825 E 8th St
Winner, SD 57580
Phone (605) 842-1612
825 E 8th St
Ste 202
Winner, SD 57580
Phone (605) 842-1612
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Surgical Physician Assistant
- Golden, CO
- NPI 1912021403
-
- Specialist
- Fairmont, MN
- NPI 1942270681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424736000000",
"number": "1730227356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 651",
"city": "WINNER",
"state": "SD",
"postal_code": "575800651",
"telephone_number": "605-842-1612",
"fax_number": "605-842-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E 8TH ST STE 202",
"city": "WINNER",
"state": "SD",
"postal_code": "575802633",
"telephone_number": "605-842-1612",
"fax_number": "605-842-3837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGG M. TOBIN, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-03",
"last_updated": "2015-02-24",
"status": "A",
"authorized_official_last_name": "TOBIN",
"authorized_official_first_name": "GREGG",
"authorized_official_middle_name": "MORAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "605-842-1612",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "0195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "4999933",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winner, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.