Active NPI
Richard Spillman, PA-C
- Physician Assistant
- Billings, MT
National Provider Identifier
1104810753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 342
- Practice address
- 2800 10TH Ave N
Billings, MT 59101-0703 - Phone
- (406) 657-4000
- NPI assigned
- Sep 8, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 342 | MT | Primary |
Addresses
Primary practice location
2800 10TH Ave N
Billings, MT 59101-0703
Mailing address
1805 Oakridge LN
Billings, MT 59102-0774
Phone (406) 256-6350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301595 | Medicaid | MT |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1104810753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 OAKRIDGE LN",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591020774",
"telephone_number": "406-256-6350"
},
{
"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": "406-657-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILLMAN",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4301595",
"state": "MT"
}
],
"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 May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.