SUMMIT OB GYN PC
NPI 1942664107
Specialist in Gillette, WY

Active since April 13, 2016CLIA 53D2115216 · Microscopy
1414 W 4TH ST, GILLETTE, WY 82716(307) 299-4496 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summit Ob Gyn Pc NPPES

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

SUMMIT OB GYN PC (NPI 1942664107) is a healthcare organization registered as a specialist in Gillette, Wyoming and active in the NPI registry since April 2016. The organization holds a CLIA Microscopy certificate valid through June 29, 2028 and lists Anna Wilson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1942664107
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUMMIT OB GYN PC
Location Address1414 W 4TH STGillette, WY 82716-3328
Mailing Address1414 W 4th StGillette, WY 82716-3328
Organization SubpartNo
Authorized OfficialAnna WilsonPractice Manager · (307) 682-6263
Enumeration DateApril 13, 2016
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1942664107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in WY · 7203A Licensed in WY · 8045A
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 8335A (WY)
1414 W 4TH ST, Gillette, WY 82716

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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) 53D2115216

Summit Ob Gyn PC · Gillette, WY
Active · expires Jun 29, 2028
CLIA Number53D2115216
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorAngela E. Biggs
Laboratory Phone(307) 299-4496
Laboratory LocationSummit Ob Gyn PC1414 W Fourth St, Gillette, WY 82716
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 11

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

Obstetrics & Gynecology
1414 W 4TH ST
GILLETTE, WY 82716
Nurse Practitioner (Women's Health)
1414 W 4TH ST
GILLETTE, WY 82716
Obstetrics & Gynecology
1414 W 4TH ST
GILLETTE, WY 82716
Obstetrics & Gynecology (Obstetrics)
1414 W 4TH ST, OBGYN SPECIALISTS
GILLETTE, WY 82716
Nurse Practitioner
1414 W 4TH ST
GILLETTE, WY 82716
Obstetrics & Gynecology
1414 W 4TH ST
GILLETTE, WY 82716
Surgery (Trauma Surgery)
1414 W 4TH ST
GILLETTE, WY 82716
Obstetrics & Gynecology
1414 W 4TH ST
GILLETTE, WY 82716

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 Summit Ob Gyn PC's NPI number?

The NPI number for Summit Ob Gyn PC is 1942664107. It was assigned to this organization in the NPPES registry on April 13, 2016.

Where is Summit Ob Gyn PC located?

Summit Ob Gyn PC is located at 1414 W 4th St, Gillette, WY 82716. The listed phone number is (307) 299-4496.

What is Summit Ob Gyn PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Summit Ob Gyn PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 53D2115216) is associated with this NPI, valid through June 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Ob Gyn PC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Summit Ob Gyn PC 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 Summit Ob Gyn PC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.