Butte Pathology LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

BUTTE PATHOLOGY LLC

Practice address

400 S Clark
Butte, MT 59701

Phone

(406) 782-7442

NPI assigned

Aug 23, 2006

Last updated

Nov 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall J Shannon, MDNPI 1043327562

Title

Partner

Phone

(406) 782-7442

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 12

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.

• Randall J Shannon, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Butte, MT
  • NPI 1043327562
  Medicare reassignment NPD Authorized official
• Veronica J Champer, MN, FNP-BC

  • Family Nurse Practitioner
  • Boulder, MT
  • NPI 1316353105
  NPD
• James G Hueftle, MD

  • Hematology & Oncology Physician
  • Anaconda, MT
  • NPI 1528041571
  NPD
• Lori Jane Lagerquist, PA-C

  • Physician Assistant
  • Butte, MT
  • NPI 1558454066
  NPD
• Debra Rene Lewis, MD

  • Emergency Medicine Physician
  • Butte, MT
  • NPI 1457388324
  NPD
• Todd D Mohr, PAC

  • Physician Assistant
  • Butte, MT
  • NPI 1891776944
  NPD
• James Barry Oser, M.D.

  • Family Medicine Physician
  • Deer Lodge, MT
  • NPI 1629121082
  NPD
• John Pullman, MD

  • Internal Medicine Physician
  • Butte, MT
  • NPI 1518998426
  NPD
• Rebecca Susan Tarlton, MD

  • Radiation Oncology Physician
  • Billings, MT
  • NPI 1083655393
  NPD
• Josette Ueland

  • Family Nurse Practitioner
  • Butte, MT
  • NPI 1881083293
  NPD
• Marwan Massouh, MD

  • Hematology & Oncology Physician
  • Westlake, OH
  • NPI 1508841669
  NPD
• David Moon, MD

  • Vascular & Interventional Radiology Physician
  • Redlands, CA
  • NPI 1912324104
  NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1861509382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4108",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597024108",
            "telephone_number": "406-782-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CLARK",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "59701",
            "telephone_number": "406-782-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTE PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "406-782-7442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Butte Nursing and Rehab Center LLC (Southwest Montana Veterans Home)
• Butte Orthopedic and Fracture Clinic PC
• Butte Oxygen Inc.
• Butte Pain and Anesthesia Associates, PLLC
• Butte Park Royal Operations, LLC
• Butte Pediatric Dentistry PC
• Butte Physical Therapy Center Inc
• Butte Public Schools
• Butte Rescue Mission
• Butte School District #1

• Anatomic Pathology & Clinical Pathology Physician in Butte, MT
• Providers in Butte, MT by specialty
• Anatomic Pathology & Clinical Pathology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.