Providence Health & Services Mt

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PROVIDENCE HEALTH & SERVICES MT

Practice address

300 W Mercury Street
Butte, MT 59701-1652

Phone

(406) 329-5615

Fax

(406) 329-5606

NPI assigned

May 20, 2008

Organization subpart

Yes

Parent organization

PROVIDENCE HEALTH & SERVICESAs reported in NPPES

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

Authorized official

Name

Teri Masters

Title

RCM Operations MGR

Phone

(406) 329-5795

Specialties & licenses 3

Addresses

Other names 1

• PMG MT IHI Butte Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Part of

Providence Service Corporation

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Guffin, M.D.

  • Emergency Medicine Physician
  • Missoula, MT
  • NPI 1689985376
  NPD
• Elizabeth Eleanor Miller Beil, MD

  • Pediatrics Physician
  • Aurora, CO
  • NPI 1891189908
  NPD
• Juan C. Mejia, MD

  • Transplant Surgery Physician
  • Spokane, WA
  • NPI 1588848428
  NPD

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1871750554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34439",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241439",
            "telephone_number": "406-329-5615",
            "fax_number": "406-329-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MERCURY STREET",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011652",
            "telephone_number": "406-329-5615",
            "fax_number": "406-329-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES MT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES",
        "enumeration_date": "2008-05-20",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "RCM OPERATIONS MGR",
        "authorized_official_telephone_number": "406-329-5795"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMG MT IHI Butte Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of Montana Medical PC
• Lynn Marie Price
• Maureen (Marnie) E Prigge, M.S.
• Providence Health & Services Mt
• Providence Health & Services Mt
• Rachelle Pryor, LCSW
• Psychiatric Consultants of Montana, PLLC
• Michelle Miranda Puerner, L.C.S.W
• John Pullman, MD
• August Jakob Querciagrossa, DPT

• Cardiovascular Disease Physician in Butte, MT
• Providers in Butte, MT by specialty
• Cardiovascular Disease Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.