Individual provider Active NPI

Patrick Merrill Minchow, RPA

  • Radiology Practitioner Assistant
  • Billings, MT
National Provider Identifier
1093026395
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
2767 Issued in MT
Practice address
2800 10TH Ave N
Billings, MT 59101-0703
Phone
(406) 237-1300
Fax
(406) 657-3747
NPI assigned
Jul 1, 2010
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X 2767 MT Primary

Addresses

Primary practice location

2800 10TH Ave N
Billings, MT 59101-0703

Mailing address

435 Marathon Dr
Billings, MT 59102-7239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2767MTMDRadiology Practitioner Assistant

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1093026395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MARATHON DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 10TH AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010703",
            "telephone_number": "406-237-1300",
            "fax_number": "406-657-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCHOW",
        "first_name": "PATRICK",
        "middle_name": "MERRILL",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "MT",
            "license": "2767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.