NPIMap

Organization Active NPI

Yellowstone Dermatology PLLP

  • Specialist
  • Billings, MT
National Provider Identifier
1093929523
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0600017482 Issued in MT
Legal business name
YELLOWSTONE DERMATOLOGY PLLP
Practice address
2900 12TH Ave N
Suite 240W
Billings, MT 59101-7506
Phone
(406) 238-6115
Fax
(406) 238-6121
NPI assigned
May 10, 2007
Last updated
Dec 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Roberta J Hawk, M.D.NPI 1093828378
Title
Doctor
Phone
(406) 238-6115

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
Specialist 174400000X 0600017482 MT Primary

Addresses

Primary practice location

2900 12TH Ave N
Suite 240W
Billings, MT 59101-7506

Mailing address

2900 12TH Ave N
Suite 240W
Billings, MT 59101-7506
Phone (406) 238-6115

Other names 1

  • YD Skin Care Other name

National Provider Directory

National Provider Directory

Locations

2900 12th Ave N
#240W
Billings, MT 59101
Phone (406) 238-6115

2900 12th Ave N
Ste 240W
Billings, MT 59101
Phone (406) 237-7999

Practitioners & affiliated clinicians

Practitioners 5

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1093929523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "SUITE 240W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-238-6115",
            "fax_number": "406-238-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "SUITE 240W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-238-6115",
            "fax_number": "406-238-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE DERMATOLOGY PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "406-238-6115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MT",
            "license": "0600017482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YD Skin Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 30, 2008; 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.