Ian L Greybull

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

R29280 Issued in ND

Legal business name

IAN L GREYBULL

Practice address

300 W Century Ave
Bismarck, ND 58503-1405

Phone

(701) 323-9900

Fax

(701) 323-9911

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Shawna Zastoupil, RHIT

Title

Director of Coding/Billing

Phone

(701) 323-9900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1447522206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031405",
            "telephone_number": "701-323-9900",
            "fax_number": "701-323-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031405",
            "telephone_number": "701-323-9900",
            "fax_number": "701-323-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN L GREYBULL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "ZASTOUPIL",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "DIRECTOR OF CODING/BILLING",
        "authorized_official_telephone_number": "701-323-9900",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ND",
            "license": "R29280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84140",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Hutton, RN IBCLC
• Garold Benjamin Hyatt
• Megan R Hyatt
• Nathan Hyer
• Glen R Hyland, M.D.
• Alfredo Iardino, M.D.
• Amy Ibach
• Heather Renee Ibach, LAC, LSW
• Michael Kenneth Ibach
• Kurt Icenogle Sr., M.D.

• Health Service Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Health Service Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.