Organization Active NPI

Spring Creek Family Medicine, PLLC

  • Family Medicine Physician
  • Lewistown, MT
National Provider Identifier
1124281878
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11299 Issued in MT
Legal business name
SPRING CREEK FAMILY MEDICINE, PLLC
Practice address
310 Wendell Ave Ste 1
Lewistown, MT 59457-2267
Phone
(406) 535-1530
Fax
(406) 535-1531
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Michael E Sura, M.D.
Title
Owner
Phone
(406) 535-1530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 11299 MT Primary

Addresses

Primary practice location

310 Wendell Ave Ste 1
Lewistown, MT 59457-2267

Mailing address

310 Wendell Ave Ste 1
Lewistown, MT 59457-2267
Phone (406) 535-1530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1124281878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WENDELL AVE STE 1",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572267",
            "telephone_number": "406-535-1530",
            "fax_number": "406-535-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WENDELL AVE STE 1",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572267",
            "telephone_number": "406-535-1530",
            "fax_number": "406-535-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SURA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-535-1530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "11299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.