Jack Exley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3687 Issued in MT

Practice address

55 N. Montana
Absarokee, MT 59001-0425

Phone

(406) 328-4497

Fax

(406) 328-4574

NPI assigned

Jun 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174566301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N. MONTANA",
            "city": "ABSAROKEE",
            "state": "MT",
            "postal_code": "590010425",
            "telephone_number": "406-328-4497",
            "fax_number": "406-328-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N. MONTANA",
            "city": "ABSAROKEE",
            "state": "MT",
            "postal_code": "590010425",
            "telephone_number": "406-328-4497",
            "fax_number": "406-328-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXLEY",
        "first_name": "JACK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "3687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Absarokee Public Schools
• Absarokee Rural Fire District
• Absarokee Rural Vol Fire Dept Amb
• Felicia Anderson, CNA
• Arlan R Ellis DDS PLLC
• Alecsandria Shar Hopkins, LMT
• Jayna Race, LMHC Inc (Stillwater Counseling Center)
• Kim L. Kynast, PT
• North Stillwater Ventures LLC
• Jayna Race, M.S. LCPC

• Family Medicine Physician in Absarokee, MT
• Providers in Absarokee, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.