Blue Creek Anesthesiology PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

BLUE CREEK ANESTHESIOLOGY PC

Practice address

940 N 30TH St
Billings, MT 59101-0742

Phone

(406) 248-3290

NPI assigned

Jun 5, 2020

Last updated

Jun 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marvin Warren, MDNPI 1386733327

Title

Ownder/Physician

Phone

(406) 248-8953

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

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.

• Marvin L Warren, M.D.

  • Anesthesiology Physician
  • Billings, MT
  • NPI 1386733327
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1366066250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1155",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591031155",
            "telephone_number": "406-483-2902",
            "fax_number": "406-248-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N 30TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010742",
            "telephone_number": "406-248-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CREEK ANESTHESIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNDER/PHYSICIAN",
        "authorized_official_telephone_number": "406-248-8953",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven L. Blohm, FNPC
• Jaylen R Blome, DPT
• Gabriel Blomquist, P.A.
• Joseph Bloyder, PT
• Shannon H Bloyder, PT
• Blue Creek School District #3
• Blue Skies Pediatric Therapy Services
• Amanda Bluhm, OTD
• George Ross Blum, DDS
• Ruth Blum, M.D.

• Anesthesiology Physician in Billings, MT
• Providers in Billings, MT by specialty
• Anesthesiology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.