Organization Active NPI

Gregg M. Tobin, MD, PC

  • Surgery Physician
  • Winner, SD
National Provider Identifier
1730227356
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0195 Issued in SD
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4999933OtherWELLMARK BC/BS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.