NPIMap

Organization Active NPI

Cairn Medical LLC

  • Family Medicine Physician
  • Bigfork, MT
National Provider Identifier
1083110498
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12202 Issued in MT
Legal business name
CAIRN MEDICAL LLC
Practice address
8111 Highway 35, Suite 210
Bigfork, MT 59911
Phone
(406) 300-4712
Fax
(406) 420-5050
NPI assigned
Apr 4, 2018
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Dr. Greg Vanichkachorn, MD, MPHNPI 1093985822
Title
President
Phone
(406) 300-4712

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12202 MT Primary
Occupational Medicine Physician 2083X0100X 12202 MT

Addresses

Primary practice location

8111 Highway 35, Suite 210
Bigfork, MT 59911

Mailing address

8111 Highway 35, Suite 210
Bigfork, MT 59911
Phone (406) 300-4712

Other practice location 1

Cairn Medical LLC
3000 15th Avenue South
Great Falls, MT 59405
Phone (406) 300-4712

Other practice location 2

Cairn Medical LLC
2875 Tina Avenue
Missoula, MT 59808
Phone (406) 300-4712

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1083110498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 HIGHWAY 35, SUITE 210",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "59911",
            "telephone_number": "406-300-4712",
            "fax_number": "406-420-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 HIGHWAY 35, SUITE 210",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "59911",
            "telephone_number": "406-300-4712",
            "fax_number": "406-420-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cairn Medical LLC",
            "address_2": "3000 15th Avenue South",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "59405",
            "country_code": "US",
            "telephone_number": "406-300-4712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Cairn Medical LLC",
            "address_2": "2875 Tina Avenue",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "59808",
            "country_code": "US",
            "telephone_number": "406-300-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAIRN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "VANICHKACHORN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-300-4712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "12202",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MT",
            "license": "12202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bigfork, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.