Organization 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
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.