Giovannina Anthony, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Wilson, WY
NPI 1831268622 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1831268622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 7261A (WY)
- Practice address
- 5237 HHR Ranch Rd Ste 1
Wilson, WY 83014-9220 - Phone
- (307) 206-0317
- Fax
- (307) 205-7289
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050623001078 | WY | Practitioner - Obstetrics/Gynecology | 6002851623 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7261A | WY | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 7261A | WY | Yes |
Addresses
Primary practice location
5237 HHR Ranch Rd Ste 1
Wilson, WY 83014-9220
Mailing address
PO Box 1110
Jackson, WY 83001-1110
Phone (307) 206-0317
Other providers in Wilson, WY
- Alpenglow Health
- Gillian Butsch Berrian
- C-V Ranch Region V Boces
- Patricia Marie Carr
- Caitlin Elizabeth Ciccone
- Cowboy Kids Pediatrics
All providers in Wilson, WY · Obstetrics & Gynecology Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.