Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Summit OB GYN PC

Organization Specialist · NPI 1942664107

Summit OB GYN PC provides Specialist services 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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