Organization Active NPI

Yellowstone Pathologists, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bozeman, MT
National Provider Identifier
1609484955
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
YELLOWSTONE PATHOLOGISTS, PC
Practice address
931 Highland Blvd Ste 3225
Bozeman, MT 59715-6911
Phone
(406) 414-1004
Fax
(406) 414-5445
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Angela Fay DurdenNPI 1972692416
Title
Authorized Signer
Phone
(406) 238-6360

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
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

931 Highland Blvd Ste 3225
Bozeman, MT 59715-6911

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509

National Provider Directory

National Provider Directory

Locations

931 Highland Blvd
Ste 3225
Bozeman, MT 59715
Phone (406) 414-1004

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1609484955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD STE 3225",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156911",
            "telephone_number": "406-414-1004",
            "fax_number": "406-414-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE PATHOLOGISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DURDEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "406-238-6360"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

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