Organization Active NPI

Patsy Vargo MD PC

  • Family Medicine Physician
  • Great Falls, MT
National Provider Identifier
1053499574
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6083 Issued in MT
Legal business name
PATSY VARGO MD PC
Practice address
3511 1St Ave N
Ste 1
Great Falls, MT 59401-3527
Phone
(406) 727-5778
Fax
(406) 761-7117
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patsy Vargo, MDNPI 1568540516
Title
Employer
Phone
(406) 727-5778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 6083 MT Primary

Addresses

Primary practice location

3511 1St Ave N
Ste 1
Great Falls, MT 59401-3527

Mailing address

3511 1St Ave N
Ste 1
Great Falls, MT 59401-3527
Phone (406) 727-5778

Other identifiers 1

IdentifierTypeStateIssuer
0066181MedicaidMT

National Provider Directory

National Provider Directory

Locations

3511 1st Ave N
Ste 1
Great Falls, MT 59401
Phone (406) 727-5778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1053499574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 1ST AVE N",
            "address_2": "STE 1",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013527",
            "telephone_number": "406-727-5778",
            "fax_number": "406-761-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 1ST AVE N",
            "address_2": "STE 1",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013527",
            "telephone_number": "406-727-5778",
            "fax_number": "406-761-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATSY VARGO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "VARGO",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "406-727-5778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "6083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066181",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.