Active NPI
Mark E Pirak, PA-C
- Physician Assistant
- Missoula, MT
National Provider Identifier
1144277997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 70432
- Practice address
- 500 W Broadway St
Missoula, MT 59802-4008 - Phone
- (406) 728-2539
- Fax
- (406) 329-5663
- NPI assigned
- May 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10003222 | WA | |
| Physician Assistant | 363A00000X | 70432 | MT | Primary |
Addresses
Primary practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 728-2539
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 |
|---|---|---|---|
| 70432 | MT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1144277997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-728-2539",
"fax_number": "406-329-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-728-2539",
"fax_number": "406-329-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIRAK",
"first_name": "MARK",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10003222",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "70432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.