Organization Active NPI

Northern Plains Pathologists, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Great Falls, MT
National Provider Identifier
1669597266
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
NORTHERN PLAINS PATHOLOGISTS, PC
Practice address
500 15TH Ave S
Great Falls, MT 59405-4324
Phone
(406) 455-2021
Fax
(406) 455-2126
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Brenton A Meda, M.D.
Title
Chairman
Phone
(406) 455-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

500 15TH Ave S
Great Falls, MT 59405-4324

Mailing address

500 15TH Ave S
Great Falls, MT 59405-4324
Phone (406) 455-2021

National Provider Directory

National Provider Directory

Locations

1101 26th St S
#E
Great Falls, MT 59405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1669597266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054324",
            "telephone_number": "406-455-2021",
            "fax_number": "406-455-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054324",
            "telephone_number": "406-455-2021",
            "fax_number": "406-455-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PLAINS PATHOLOGISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MEDA",
        "authorized_official_first_name": "BRENTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "406-455-2021",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.