Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Summit OB GYN PC

Organization Specialist · NPI 1942664107

Summit OB GYN PC is a Specialist in Gillette, Wyoming. Licensed in Wyoming. Registered with an NPI since 2016.

Licensed in
WY
In the registry since
2016
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1414 W 4th St
Gillette, WY 82716-3328
Phone: (307) 299-4496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 7203A (WY)
Specialist Taxonomy 174400000X · Licence 8045A (WY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 8335A (WY)

Record details

NPI number1942664107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anna Wilson — Practice Manager · (307) 682-6263
NPI enumeratedApril 13, 2016
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address1414 W 4th St, Gillette, WY 82716-3328

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