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GROS VENTRE OB/GYN, LLP
NPI 1649451907
Obstetrics & Gynecology in Jackson, WY

Active since November 15, 2007CLIA 53D2038409 · Microscopy
555 E BROADWAY AVE STE 108, JACKSON, WY 83001(307) 734-1005(307) 734-1065 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gros Ventre Ob/gyn, Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GROS VENTRE OB/GYN, LLP (NPI 1649451907) is a healthcare organization registered as an obstetrics & gynecology in Jackson, Wyoming and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through March 19, 2028 and lists Maura Lofaro, Owner, as its authorized official.

NPPES Registry Identity

NPI1649451907
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameGROS VENTRE OB/GYN, LLP
Location Address555 E BROADWAY AVE STE 108Jackson, WY 83001-8640
Mailing AddressPo Box 3306Idaho Falls, ID 83403-3306 · (307) 734-1005 · Fax (307) 734-1065
Phone(307) 734-1005
Fax(307) 734-1065
Organization SubpartNo
Authorized OfficialMaura LofaroOwner · (307) 734-1005
Enumeration DateNovember 15, 2007
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1649451907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
555 E BROADWAY AVE STE 108, Jackson, WY 83001
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 53D2038409

Gros Ventre Ob/Gyn, LLP · Jackson, WY
Active · expires Mar 19, 2028
CLIA Number53D2038409
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorDr. Shannon C. Roberts
Laboratory Phone(307) 734-1005
Laboratory LocationGros Ventre Ob/Gyn, LLP555 East Broadway, Suite 108, Jackson, WY 83001
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIRL DOUGLAS GEORGE M.D.
Obstetrics & Gynecology
555 E BROADWAY AVE STE 108
JACKSON, WY 83001
Teton County (307) 734-1313
DR. TIMOTHY G BUSSERT MD
Obstetrics & Gynecology
555 E BROADWAY AVE STE 108
JACKSON, WY 83001
Teton County (307) 734-1005
WOMENS HEALTH & FAMILY CARE, LLC
Obstetrics & Gynecology
555 E BROADWAY AVE STE 108
JACKSON, WY 83001
Teton County (307) 734-1313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gros Ventre Ob/Gyn, LLP's NPI number?

The NPI number for Gros Ventre Ob/Gyn, LLP is 1649451907. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Gros Ventre Ob/Gyn, LLP located?

Gros Ventre Ob/Gyn, LLP is located at 555 E Broadway Ave Ste 108, Jackson, WY 83001. The listed phone number is (307) 734-1005.

What is Gros Ventre Ob/Gyn, LLP's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Gros Ventre Ob/Gyn, LLP hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 53D2038409) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gros Ventre Ob/Gyn, LLP accept?

Health plans from Blue Cross Blue Shield of Wyoming list Gros Ventre Ob/Gyn, LLP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gros Ventre Ob/Gyn, LLP was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.