Copper City Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

10582 Issued in MT

Legal business name

COPPER CITY RADIOLOGY PC

Practice address

400 S Clark St
Butte, MT 59701-2328

Phone

(406) 723-2658

Fax

(406) 723-2624

NPI assigned

Jun 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Hassan Massouh, MD

Title

Owner

Phone

(406) 461-2953

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780112862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1160",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596241160",
            "telephone_number": "406-723-2658",
            "fax_number": "406-723-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CLARK ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012328",
            "telephone_number": "406-723-2658",
            "fax_number": "406-723-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CITY RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MASSOUH",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-461-2953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "10582",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085442",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "98815",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Butte, MT
• Providers in Butte, MT by specialty
• Diagnostic Radiology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.