Individual provider Active NPI

Patrick W Cobb, M.D.

  • Hematology & Oncology Physician
  • Billings, MT
National Provider Identifier
1710968219
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
7719 Issued in MT
Practice address
1315 Golden Valley Cir
Billings, MT 59102-6746
Phone
(406) 238-6290
Fax
(406) 238-6961
NPI assigned
Nov 10, 2005
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 7719 MT Primary
Hematology & Oncology Physician 207RH0003X 5703A WY

Addresses

Primary practice location

1315 Golden Valley Cir
Billings, MT 59102-6746

Mailing address

PO Box 30976
Billings, MT 59107-0976
Phone (406) 238-6290

Other identifiers 5

IdentifierTypeStateIssuer
830002845MedicaidWY
810511516002OtherMTEBMS
000009401OtherMTBLUE CROSS MT
0045383MedicaidMT
307066OtherWYBLUE CROSS WY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000526 MT Practitioner - Hematology/Oncology 7618879156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7719MTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Montana Current Accepting new patients
SCL Health Montana Current Accepting new patients
SCL Health Montana CurrentSince Dec 14, 2012 Accepting new patients
St. Vincent Healthcare Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

1315 Golden Valley Cir
Billings, MT 59102
Phone (406) 238-6290

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1710968219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30976",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591070976",
            "telephone_number": "406-238-6290",
            "fax_number": "406-238-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 GOLDEN VALLEY CIR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026746",
            "telephone_number": "406-238-6290",
            "fax_number": "406-238-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "PATRICK",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MT",
            "license": "7719",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WY",
            "license": "5703A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830002845",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EBMS",
            "identifier": "810511516002",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MT",
            "identifier": "000009401",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045383",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS WY",
            "identifier": "307066",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.