Susan H. Avery, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3884 Issued in MT

Legal business name

SUSAN H. AVERY, MD, PC

Practice address

401 15TH Ave S Ste 110
Great Falls, MT 59405-4334

Phone

(406) 761-2399

Fax

(406) 761-1992

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Susan Hoppock Avery, MDNPI 1437244845

Title

President

Phone

(406) 761-2399

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Susan H. Avery, MD

  • Adult Medicine Physician
  • Great Falls, MT
  • NPI 1437244845
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1306177092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 15TH AVE S STE 110",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054334",
            "telephone_number": "406-761-2399",
            "fax_number": "406-761-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 15TH AVE S STE 110",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054334",
            "telephone_number": "406-761-2399",
            "fax_number": "406-761-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN H. AVERY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "HOPPOCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-761-2399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "3884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Great Falls, MT
• Providers in Great Falls, 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 Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.