Mercury Street Medical Group PLLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

MERCURY STREET MEDICAL GROUP PLLC

Practice address

3703 Harrison Ave
Butte, MT 59701-6897

Phone

(406) 494-3768

Fax

(406) 723-1335

NPI assigned

Jul 28, 2006

Organization subpart

Yes

Parent organization

MERCURY STREET MEDICAL GROUP PLLCAs reported in NPPES

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

Authorized official

Name

Mr. Scott G Butler

Title

Administrator

Phone

(406) 723-1300

Specialties & licenses 1

Addresses

Other names 1

• Focused Medcare Doing business as

Part of

Mercury Street Medical

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mercury Street Medical Group PLLC

  • Physician Assistant
  • Butte, MT
  • NPI 1619054681
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David P Chamberlain, M.D.

  • Internal Medicine Physician
  • Butte, MT
  • NPI 1861423071
  NPD
• John Pullman, MD

  • Internal Medicine Physician
  • Butte, MT
  • NPI 1518998426
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1104830793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MERCURY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011652",
            "telephone_number": "406-494-3768",
            "fax_number": "406-723-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016897",
            "telephone_number": "406-494-3768",
            "fax_number": "406-723-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY STREET MEDICAL GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCURY STREET MEDICAL GROUP PLLC",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-723-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focused Medcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Stephen McIntyre, DDS
• Cara Ann McKee, PA-C
• Angela McKeever, R.N.
• Meadow Creek Mental Health PC
• Jeanne Lee Mehrens, P A C
• Mercury Street Medical Group PLLC
• Cassie Merten
• Michael Hamblock
• Michael Judd & Dave Boyd Counseling Services, LLC
• Michael M. Monson, O.D., P.C.

• Legal Medicine in Butte, MT
• Providers in Butte, MT by specialty
• Legal Medicine in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.