Active NPI
Robert James Mathison, RPA/RA/RT
- Radiology Practitioner Assistant
- Great Falls, MT
National Provider Identifier
1104014588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 1417
- Practice address
- 1101 26TH St. S.
Benefis Healthcare- Radiology
Great Falls, MT 59405 - Phone
- (406) 455-5665
- Fax
- (406) 455-4978
- NPI assigned
- Oct 10, 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 |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 1417 | MT | Primary |
Addresses
Primary practice location
1101 26TH St. S.
Benefis Healthcare- Radiology
Great Falls, MT 59405
Mailing address
401 15TH Ave S
Great Falls, MT 59405-4334
Phone (406) 727-0484
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1417 | MT | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1104014588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 15TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054334",
"telephone_number": "406-727-0484",
"fax_number": "406-453-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 26TH ST. S.",
"address_2": "BENEFIS HEALTHCARE- RADIOLOGY",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59405",
"telephone_number": "406-455-5665",
"fax_number": "406-455-4978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHISON",
"first_name": "ROBERT",
"middle_name": "JAMES",
"credential": "RPA/RA/RT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "MT",
"license": "1417",
"primary": true
}
],
"identifiers": [],
"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 Oct 3, 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.