Individual provider Active NPI

James Elton McKay Jr., M.D.

  • Diagnostic Radiology Physician
  • Missoula, MT
National Provider Identifier
1831114339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8607 Issued in MT
Practice address
3205 S Russell St
Missoula, MT 59801-8536
Phone
(406) 721-4906
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 8607 MT Primary

Addresses

Primary practice location

3205 S Russell St
Missoula, MT 59801-8536

Mailing address

1005 Pattee Canyon Rd
Missoula, MT 59803-1612
Phone (406) 829-1475

Other identifiers 1

IdentifierTypeStateIssuer
0014603MedicaidMT

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
I20100809000716 MT Practitioner - Diagnostic Radiology 0446205306 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Advanced Imaging at Community Medical Center, LLC CurrentSince Apr 1, 2003 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients

Locations

2803 South Ave W
Missoula, MT 59804
Phone (406) 327-3950

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831114339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PATTEE CANYON RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031612",
            "telephone_number": "406-829-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018536",
            "telephone_number": "406-721-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "JAMES",
        "middle_name": "ELTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "8607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014603",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.