Providence Health & Services Mt

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PROVIDENCE HEALTH & SERVICES MT

Practice address

1417 9TH St S
Suite 203
Great Falls, MT 59405-4509

Phone

(406) 771-7700

Fax

(406) 329-5606

NPI assigned

May 20, 2008

Last updated

Nov 11, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

PROVIDENCE HEALTH & SERVICESAs reported in NPPES

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

Authorized official

Name

Mrs. Teri Masters

Title

RCM Operations Manager

Phone

(406) 329-5795

Specialties & licenses 3

Addresses

Other names 1

• PMG MT IHI Great Falls Other name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Part of

Providence Service Corporation

Locations

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.

• Eve M Gerasimou, MD

  • Internal Medicine Physician
  • Great Falls, MT
  • NPI 1457312464

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1679730436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190012",
            "telephone_number": "406-329-5615",
            "fax_number": "406-329-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 9TH ST S",
            "address_2": "SUITE 203",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054509",
            "telephone_number": "406-771-7700",
            "fax_number": "406-329-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES MT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "RCM OPERATIONS MANAGER",
        "authorized_official_telephone_number": "406-329-5795",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMG MT IHI Great Falls",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachelle Kassidi Preston, PHARMD
• Jessica M. Price
• Julie A Prigmore, M.A., L.C.P.C.
• Elizabeth A. Pritchard-Sleath
• Manuel A Proenza, D.O.
• Jessica Ann Pruitt, MA
• Jordan Sierra Prussack, LCSW
• Psychiatry of the Falls
• Public Drug Co
• Public Drug Co Inc

• Cardiovascular Disease Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Cardiovascular Disease Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.