Montana Cardiothoracic Assist

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MED-PAC-43492 Issued in MT

Legal business name

MONTANA CARDIOTHORACIC ASSIST

Practice address

306 S Minnesota St
Conrad, MT 59425-2412

Phone

(928) 846-5869

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By 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

Mr. Norman Lee Walker, PA-C

Title

Administrator/ Physician Assistant

Phone

(928) 846-5869

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1619429511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S MINNESOTA ST",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594252412",
            "telephone_number": "928-846-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S MINNESOTA ST",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594252412",
            "telephone_number": "928-846-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA CARDIOTHORACIC ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR/ PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "928-846-5869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-43492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Health - Conrad (Logan Health EMS - Conrad)
• Logan Health - Conrad (Logan Health Medical Equipment - Conrad)
• Vann L Lovett, R.D.
• Marias Healthcare Services Inc
• Kathryn Jean Mock, RDN
• Montana Quality Living, LLC
• Julie Laine Murack, DC
• Richard Joseph Murack, DC
• My Hearing Centers, LLC
• Shawn Thomas Nesbo, MD

• Physician Assistant in Conrad, MT
• Providers in Conrad, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.