Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. TOBY MERRILL ENNISS
Active
Individual
DR. TOBY MERRILL ENNISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
7643802-1205
UT
2086S0102X
Surgical Critical Care Physician
Primary
7643802-1205
UT
2086S0127X
Trauma Surgery Physician
7643802-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7643802-1205
STATE MEDICAL LICENSE
UT
01
—
7643802-8905
STATE CONTROLLED SUBSTANCE NUMBER
UT
Enumeration date
11/03/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up