OrganizationActive
Gros Ventre Ob/Gyn, LLP
NPI 1649451907 · Obstetrics & Gynecology Physician · Jackson, WY
Provider details
- NPI number
- 1649451907
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maura Lofaro, Owner(307) 734-1005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
555 E Broadway Ave Ste 108
Jackson, WY 83001-8640
Phone: (307) 734-1005
Fax: (307) 734-1065
Street-level locationGet directions
Mailing address
Po Box 3306
Idaho Falls, ID 83403-3306
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2012-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.