Active NPI
Thomas M Countway, DPM
- Podiatrist
- Billings, MT
National Provider Identifier
1932191632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 100
- Practice address
- 2900 12TH Ave N
Suite 140W
Billings, MT 59101-7506 - Phone
- (406) 238-6540
- Fax
- (406) 238-6599
- NPI assigned
- Aug 18, 2005
- Last updated
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 100 | MT | Primary |
Addresses
Primary practice location
2900 12TH Ave N
Suite 140W
Billings, MT 59101-7506
Mailing address
2900 12TH Ave N
Suite 140W
Billings, MT 59101-7506
Phone (406) 238-6540
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480028285 | Other | MT | RAILROAD MEDICARE |
| 000091878 | Other | MT | BLUE CROSS BLUE SHIELD |
| 390429 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100 | MT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1932191632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 12TH AVE N",
"address_2": "SUITE 140W",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017506",
"telephone_number": "406-238-6540",
"fax_number": "406-238-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 12TH AVE N",
"address_2": "SUITE 140W",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017506",
"telephone_number": "406-238-6540",
"fax_number": "406-238-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNTWAY",
"first_name": "THOMAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MT",
"license": "100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480028285",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000091878",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390429",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.