Active NPI
George Angelo Biancarelli, MD
- Family Medicine Physician
- Shelby, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9830
- Practice address
- 670 Park Ave
Shelby, MT 59474-1663 - Phone
- (406) 434-3100
- Fax
- (406) 434-3143
- NPI assigned
- Oct 4, 2005
- Last updated
- Oct 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9830 | MT | Primary |
Addresses
Primary practice location
670 Park Ave
Shelby, MT 59474-1663
Mailing address
670 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9830 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pend Oreille County Public Hospital District No 1 | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Okanogan County Public Hospital District No. 3 | Current | Accepting new patients | |
| Pend Oreille County Public Hospital District No 1 | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
714 W Pine St
Newport, WA 99156
Phone (509) 447-2441
810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760
1617 Main St
Oroville, WA 98844
Phone (509) 476-3631
203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Tonasket, WA
- NPI 1164580700
-
dba North Valley Professional Services
- Medical Specialty Clinic/Center
- Tonasket, WA
- NPI 1750443834
-
dba Mid-Valley Hospital
- Critical Access Hospital
- Omak, WA
- NPI 1255387403
-
dba Tonasket Family Medical Clinic
- Rural Health Clinic/Center
- Tonasket, WA
- NPI 1811555931
-
dba Seeber's Pharmacy
- Community/Retail Pharmacy
- Newport, WA
- NPI 1134831415
-
dba Newport Community Hospital
- Emergency Medicine Physician
- Newport, WA
- NPI 1427264795
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1083601108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 PARK AVE",
"city": "SHELBY",
"state": "MT",
"postal_code": "594741663",
"telephone_number": "406-434-3100",
"fax_number": "406-434-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PARK AVE",
"city": "SHELBY",
"state": "MT",
"postal_code": "594741663",
"telephone_number": "406-434-3100",
"fax_number": "406-434-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCARELLI",
"first_name": "GEORGE",
"middle_name": "ANGELO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "9830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.