NPIMap

Individual provider Active NPI

Ronald T. Egan, MD

  • Diagnostic Radiology Physician
  • Great Falls, MT
National Provider Identifier
1295820025
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8018 Issued in MT
Practice address
5 Bob Marshall PL
Great Falls, MT 59404-6432
Phone
(406) 727-5939
Fax
(406) 727-5939
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 8018 MT Primary
Vascular & Interventional Radiology Physician 2085R0204X 8018 MT

Addresses

Primary practice location

5 Bob Marshall PL
Great Falls, MT 59404-6432

Mailing address

5 Bob Marshall PL
Great Falls, MT 59404-6432
Phone (406) 727-5939

Other identifiers 1

IdentifierTypeStateIssuer
0100351MedicaidMO

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Healthcare Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
Livingston Healthcare Past Accepting new patients
Radiology Montana, PC Diagnostic Radiology PastSince Sep 8, 2019 Accepting new patients
Stillwater Hospital Association, Inc. Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
Montana Interventional and Diagnostic Radiology Specialists, PLLC Diagnostic Radiology Past Accepting new patients
Helena Imaging, LLC Past Accepting new patients

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1295820025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BOB MARSHALL PL",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046432",
            "telephone_number": "406-727-5939",
            "fax_number": "406-727-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BOB MARSHALL PL",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046432",
            "telephone_number": "406-727-5939",
            "fax_number": "406-727-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "RONALD",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "8018",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "8018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100351",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.