Organization Active NPI

Ray Scan Inc.

  • Diagnostic Radiology Physician
  • Butte, MT
National Provider Identifier
1336186733
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8011 Issued in MT
Legal business name
RAY SCAN INC.
Practice address
401 S Alabama St
Suite 6B
Butte, MT 59701-2315
Phone
(406) 723-2132
Fax
(406) 723-6144
NPI assigned
Jun 2, 2006
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mr. Jesse A. Cole, MDNPI 1770520173
Title
Owner
Phone
(406) 723-2132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 8011 MT Primary

Addresses

Primary practice location

401 S Alabama St
Suite 6B
Butte, MT 59701-2315

Mailing address

401 S Alabama St
Suite 6B
Butte, MT 59701-2315
Phone (406) 723-2132

Other identifiers 1

IdentifierTypeStateIssuer
8011OtherMTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050506000384 MT Part B Supplier - Clinic/Group Practice 4082654272 Receives reassigned benefits from 1 practitioner
Practice locations: Butte, MT

National Provider Directory

National Provider Directory

Locations

401 S Alabama St
Ste 6B
Butte, MT 59701
Phone (406) 723-2132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1336186733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST",
            "address_2": "SUITE 6B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012315",
            "telephone_number": "406-723-2132",
            "fax_number": "406-723-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST",
            "address_2": "SUITE 6B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012315",
            "telephone_number": "406-723-2132",
            "fax_number": "406-723-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY SCAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-723-2132",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "8011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "8011",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.