Mark Ibsen Inc

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

7378 Issued in MT

Legal business name

MARK IBSEN INC

Practice address

39 Neill Ave
Helena, MT 59601-3330

Phone

(406) 513-1052

Fax

(406) 513-1054

NPI assigned

Dec 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark S Ibsen, M.D.

Title

Owner

Phone

(406) 513-1052

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Urgent Care Plus Doing business as

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1821327008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NEILL AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013330",
            "telephone_number": "406-513-1052",
            "fax_number": "406-513-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEILL AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013330",
            "telephone_number": "406-513-1052",
            "fax_number": "406-513-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK IBSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "IBSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-513-1052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MT",
            "license": "7378",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "7378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104958",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "000080499",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Lyn Huntley
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• Danielle R Marietti, LCSW
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• Elaine Maronick, ELAINE MARONICK
• Kelly D Marrinan, CCCA
• Megan Helene Marsh, MS, LCPC
• Michelle N Marshal, LCPC
• Sandra L Marston

• Emergency Medical Services (Emergency Medicine) Physician in Helena, MT
• Providers in Helena, MT by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.