Chisdak OB-GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

9885 Issued in MT

Legal business name

CHISDAK OB-GYN

Practice address

2132 Broadwater Ave
Ste A1
Billings, MT 59102-4778

Phone

(406) 556-4649

Fax

(406) 556-7083

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Jami Chisdak, M.D.NPI 1720033053

Title

Physician

Phone

(406) 556-4649

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jami Lorene Chisdak, MD

  • Obstetrics & Gynecology Physician
  • Bozeman, MT
  • NPI 1720033053

  Obstetrics & Gynecology

  NPD (past) Authorized official

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407803232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST",
            "address_2": "SUITE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158810",
            "telephone_number": "406-556-4649",
            "fax_number": "406-556-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 BROADWATER AVE",
            "address_2": "STE A1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024778",
            "telephone_number": "406-556-4649",
            "fax_number": "406-556-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISDAK OB-GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHISDAK",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "406-556-4649",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "9885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44285",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children'S Hospital Colorado
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• Chiropractic First of Billings, P.C.
• Chiropractic Health Associates PLLC
• Clint Chlarson, DDS
• Veronica Chneider
• Karen Kathryn Chory Jones
• Erik James Chosa, RPH
• Douglas Duane Christensen

• All providers in Billings, MT
• Obstetrics & Gynecology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.