Active NPI
Big Sky Vascular a Series of Teton Group Enterprises a Delaware LLC
Doing business as Big Sky Vascular
- Vascular & Interventional Radiology Physician
- Billings, MT
National Provider Identifier
1649669953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- BIG SKY VASCULAR A SERIES OF TETON GROUP ENTERPRISES A DELAWARE LLC
- Doing business as
- Big Sky Vascular
- Practice address
- 3307 Grand Ave Ste 201
Billings, MT 59102-6551 - Phone
- (406) 969-5194
- Fax
- (406) 969-5195
- NPI assigned
- Jan 10, 2015
- Last updated
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael P Hodel
- Title
- Secretary
- Phone
- (208) 542-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | MT | Primary |
Addresses
Primary practice location
3307 Grand Ave Ste 201
Billings, MT 59102-6551
Mailing address
PO Box 1642
Idaho Falls, ID 83403-1642
Phone (208) 552-8761
Other names 1
- Big Sky Vascular
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Diagnostic Radiology Physician
- Idaho Falls, ID
- NPI 1699854257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429660800000",
"number": "1649669953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1642",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834031642",
"telephone_number": "208-552-8761",
"fax_number": "208-523-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3307 GRAND AVE STE 201",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591026551",
"telephone_number": "406-969-5194",
"fax_number": "406-969-5195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG SKY VASCULAR A SERIES OF TETON GROUP ENTERPRISES A DELAWARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-10",
"last_updated": "2015-04-22",
"status": "A",
"authorized_official_last_name": "HODEL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "208-542-5000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Big Sky Vascular",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.